SAN RAMON ENDOSCOPY CENTER LLC NPI 1184635955

NPI Information

  • NPI: 1184635955
  • Provider Name: SAN RAMON ENDOSCOPY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 5801 NORRIS CANYON RD
    SUITE 220
    SAN RAMON, CA
    ZIP 94583
  • Phone: (925) 275-9966

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NPI Details

SAN RAMON ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in San Ramon, CA. SAN RAMON ENDOSCOPY CENTER LLC NPI is 1184635955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5801 NORRIS CANYON RD
SUITE 220
SAN RAMON, CA
ZIP 94583-440
Phone: (925) 275-9966

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Biopsy of small bowel (except ileum) using an endoscope (HCPCS:44361)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/20/2025.

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
1207RG0100XInternal MedicineGastroenterologyNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZH0707ZOTHERCALIFORNIABLUE SHIELD

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: 11/21/2025

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