SR NAKKA MD NPI 1366857377

NPI Information

  • NPI: 1366857377
  • Provider Name: SR NAKKA MD
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY
  • CLIA Number: 05D2107998
  • Address: 25495 MEDICAL CENTER DR
    SUITE 307
    MURRIETA, CA
    ZIP 92562
  • Phone: (951) 304-3900

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NPI Details

SR NAKKA MD is an ambulatory surgical clinic center in Murrieta, CA. SR NAKKA MD NPI is 1366857377. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Endoscopy Center-gastroenterology.

The provider's business location address is:

25495 MEDICAL CENTER DR
SUITE 307
MURRIETA, CA
ZIP 92562-902
Phone: (951) 304-3900
Fax: (951) 304-3901

The provider's authorized official is Sreenivasa Rao Nakka .
The authorized official title is Owner/president and has the following contact phone number (951) 929-1177.

The CLIA number assigned to this NPI record is 05D2107998 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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 large bowel using a flexible endoscope (HCPCS:45380)
  • 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)

The enumeration date for this NPI number is 6/27/2014 and was last updated on 1/12/2016.

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
1261QA1903XClinic/CenterAmbulatory Surgical543686CALIFORNIAYes

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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