SIERRA ENDOSCOPY CENTER LLC NPI 1760440515

NPI Information

NPI: 1760440515
Provider Name: SIERRA ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0994419

Address:
300 SIERRA COLLEGE DR
STE.105
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-0527
Get Directions

SIERRA ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Grass Valley, CA. SIERRA ENDOSCOPY CENTER, LLC NPI is 1760440515. The provider is registered as an organization entity type.

The provider's business location address is:

300 SIERRA COLLEGE DR
STE.105
GRASS VALLEY, CA
ZIP 95945-082
Phone: (530) 273-0527

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 05D0994419 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 1/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	230000350	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »