Healthcare Provider Details

I. General information

NPI: 1538534946
Provider Name (Legal Business Name): LOS PALOS GASTROENTEROLOGY SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2015
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1083 LOS PALOS DR
SALINAS CA
93901-3916
US

IV. Provider business mailing address

1083 LOS PALOS DR
SALINAS CA
93901-3916
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-8888
  • Fax: 831-424-8889
Mailing address:
  • Phone: 831-424-8888
  • Fax: 831-424-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN G JOHNSON
Title or Position: OFFICER
Credential: MD
Phone: 831-424-8888