| San Bernardino Gastroenterology Associates Inc. | |
|
375 Terracina Blvd Redlands CA 92373-3801 | |
| (909) 644-4063 | |
| (909) 335-1911 |
| Full Name | San Bernardino Gastroenterology Associates Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 Terracina Blvd, Redlands, California |
| Authorized Official Name and Position | Kumararvelu Balasubramaniam (OWNER) |
| Authorized Official Contact | 9098813032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino Gastroenterology Associates Inc. 2006 N Riverside Ave Ste B Rialto CA 92377-4696 Ph: (909) 881-3032 | San Bernardino Gastroenterology Associates Inc. 375 Terracina Blvd Redlands CA 92373-3801 Ph: (909) 644-4063 |
| NPI Number | 1265982375 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214218726 |
|---|---|
| Medicare Enrollment ID | O20161221000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265982375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A447160 (* (Not Available)) | Primary |
| Provider Name | Kumaravelu Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134184708 PECOS PAC ID: 8022197565 Enrollment ID: I20081111000556 |
| Provider Name | James Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508189812 PECOS PAC ID: 3375671571 Enrollment ID: I20100510000102 |
| Provider Name | Anas Kawayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821296591 PECOS PAC ID: 9335272590 Enrollment ID: I20100809000840 |
| Provider Name | Onpan Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639195746 PECOS PAC ID: 3971783507 Enrollment ID: I20110214000648 |
| Provider Name | Sunny J Sircar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205199650 PECOS PAC ID: 3678723236 Enrollment ID: I20130416000362 |
| Provider Name | Victor Guharoy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306259114 PECOS PAC ID: 8224391065 Enrollment ID: I20180410000331 |
| Provider Name | George B Saffouri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962766907 PECOS PAC ID: 3072759836 Enrollment ID: I20180719002034 |
| Provider Name | Harold E Paredes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447592969 PECOS PAC ID: 5890027312 Enrollment ID: I20191031003193 |
| Provider Name | Karen Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861855439 PECOS PAC ID: 6204257462 Enrollment ID: I20200527000683 |
| Provider Name | Carlos Andres Buitrago |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710481445 PECOS PAC ID: 5698205086 Enrollment ID: I20250214001160 |
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