My Gastro Wellness. LLC
NPI 1003685249 · Gastroenterology Physician · Canoga Park, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
My Gastro Wellness. LLC is a Gastroenterology Physician organization in Canoga Park, CA (NPI 1003685249).
Provider details
- NPI number
- 1003685249
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Norma Simmons, Manager(805) 996-0456
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is My Gastro Wellness. LLC's NPI number?
- My Gastro Wellness. LLC's National Provider Identifier (NPI) is 1003685249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Gastro Wellness. LLC?
- My Gastro Wellness. LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is My Gastro Wellness. LLC located?
- My Gastro Wellness. LLC's practice location on file with NPPES is 22110 Roscoe Blvd, Canoga Park, CA 91304-3861.
- What is My Gastro Wellness. LLC's phone number?
- The practice phone number listed in the NPPES registry for My Gastro Wellness. LLC is (747) 204-4177.
- Does My Gastro Wellness. LLC accept Medicare?
- My Gastro Wellness. LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for My Gastro Wellness. LLC?
- The authorized official listed on My Gastro Wellness. LLC's NPPES record is Norma Simmons, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Gastro Wellness. LLC's NPI active?
- Yes — My Gastro Wellness. LLC's NPI (1003685249) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.