GASTROENTEROLOGY MEDICAL CLINIC
NPI 1578741401
Specialist in Folsom, CA

Active since February 01, 2008CLIA 05D1102955 · Certificate of Compliance
1580 CREEKSIDE DR STE 220, FOLSOM, CA 95630(916) 983-4444(916) 983-8563 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 18, 2023, Jan 25, 2022, Apr 9, 2018 and 2 more (5 updates tracked since 2017).

About Gastroenterology Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY MEDICAL CLINIC (NPI 1578741401) is a healthcare organization registered as a specialist in Folsom, California and active in the NPI registry since February 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2026 and lists Robert Erick Pecha, President, as its authorized official.

NPPES Registry Identity

NPI1578741401
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY MEDICAL CLINIC
Location Address1580 CREEKSIDE DR STE 220Folsom, CA 95630-3888
Mailing Address1580 Creekside Dr Ste 150Folsom, CA 95630-3888 · (916) 983-4444 · Fax (916) 983-8563
Fax(916) 983-8563
Organization SubpartNo
Authorized OfficialRobert Erick PechaPresident · (916) 983-4444
Enumeration DateFebruary 1, 2008
Last NPPES UpdateOctober 18, 20235 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1578741401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1580 CREEKSIDE DR STE 220, Folsom, CA 95630

Other Identifiers 1

MedicaidGR0048710CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1102955

Gastroenterology Medical Clinic · Folsom, CA
Active · expires Sep 30, 2026
CLIA Number05D1102955
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Erick M. Naar
Laboratory Phone(916) 983-4444
Laboratory LocationGastroenterology Medical Clinic1580 Creekside Dr, Ste 200, Folsom, CA 95630
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1580 CREEKSIDE DR STE 220
FOLSOM, CA 95630
Internal Medicine (Hepatology)
1580 CREEKSIDE DR STE 220
FOLSOM, CA 95630
Specialist
1580 CREEKSIDE DR STE 220
FOLSOM, CA 95630
Internal Medicine (Gastroenterology)
1580 CREEKSIDE DR STE 220
FOLSOM, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Medical Clinic's NPI number?

The NPI number for Gastroenterology Medical Clinic is 1578741401. It was assigned to this organization in the NPPES registry on February 1, 2008.

Where is Gastroenterology Medical Clinic located?

Gastroenterology Medical Clinic is located at 1580 Creekside Dr Ste 220, Folsom, CA 95630. The listed phone number is (916) 983-4444.

What is Gastroenterology Medical Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Gastroenterology Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1102955) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gastroenterology Medical Clinic accept?

Health plans from Medica list Gastroenterology Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gastroenterology Medical Clinic was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.