| Gastroenterology & Hepatology Specialists Inc | |
|
1687 Erringer Rd Suite 103 Simi Valley CA 93065-6508 | |
| (805) 462-4463 | |
| (866) 496-4990 |
| Full Name | Gastroenterology & Hepatology Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1687 Erringer Rd, Simi Valley, California |
| Authorized Official Name and Position | Mayur Trivedi (PRESIDENT) |
| Authorized Official Contact | 8054924463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology & Hepatology Specialists Inc 3288 Casino Dr Thousand Oaks CA 91362-4802 Ph: (805) 492-4463 | Gastroenterology & Hepatology Specialists Inc 1687 Erringer Rd Suite 103 Simi Valley CA 93065-6508 Ph: (805) 462-4463 |
| NPI Number | 1457625931 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 3173784295 |
|---|---|
| Medicare Enrollment ID | O20120418000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457625931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A91177 (California) | Primary |
| Provider Name | Mayur R Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629265046 PECOS PAC ID: 3476607987 Enrollment ID: I20090818000808 |
| Provider Name | Todd A Glauser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336139773 PECOS PAC ID: 6305837899 Enrollment ID: I20110505000480 |
| Provider Name | Jessica M Fennewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376856880 PECOS PAC ID: 4981843281 Enrollment ID: I20180222001897 |
| Provider Name | Janet Bakalian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871921 PECOS PAC ID: 4183989387 Enrollment ID: I20180517000092 |
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