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NEW AGE GASTROENTEROLOGY, INC.
NPI 1861956971
Internal Medicine - Gastroenterology in San Bernardino, CA

Active since January 23, 2019CLIA 05D2319385 · Waiver
245 E REDLANDS BLVD STE K, SAN BERNARDINO, CA 92408(909) 654-2199(909) 798-8765 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Age Gastroenterology, Inc. NPPES

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

NEW AGE GASTROENTEROLOGY, INC. (NPI 1861956971) is a healthcare organization registered as a gastroenterology in San Bernardino, California and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Keisha L Baldeosingh, President, as its authorized official.

NPPES Registry Identity

NPI1861956971
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNEW AGE GASTROENTEROLOGY, INC.
Location Address245 E REDLANDS BLVD STE KSan Bernardino, CA 92408-3760
Mailing AddressPo Box 8126Redlands, CA 92375-1326 · (909) 654-2199 · Fax (909) 798-8765
Phone(909) 654-2199
Fax(909) 798-8765
Organization SubpartNo
Authorized OfficialKeisha L BaldeosinghPresident · (909) 654-2199
Enumeration DateJanuary 23, 2019
✔ NPI 1861956971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X
245 E REDLANDS BLVD STE K, San Bernardino, CA 92408
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Waiver 05D2319385

New Age Gastoenterology, Inc · San Bernardino, CA
Active · expires Feb 26, 2027
CLIA Number05D2319385
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorShahzad R. Farukhi
Laboratory Phone(909) 654-2199
Laboratory LocationNew Age Gastoenterology, Inc2195 Club Center Dr, San Bernardino, CA 92408
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 New Age Gastroenterology, Inc.'s NPI number?

The NPI number for New Age Gastroenterology, Inc. is 1861956971. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is New Age Gastroenterology, Inc. located?

New Age Gastroenterology, Inc. is located at 245 E Redlands Blvd Ste K, San Bernardino, CA 92408. The listed phone number is (909) 654-2199.

What is New Age Gastroenterology, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does New Age Gastroenterology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319385) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Age Gastroenterology, Inc. was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.