ROSEVILLE ENDOSCOPY CENTER LLC NPI 1376592014

NPI Information

NPI: 1376592014
Provider Name: ROSEVILLE ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
4 MEDICAL PLAZA DR
SUITE #210
ROSEVILLE, CA
ZIP 95661
Phone: (916) 773-8780
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ROSEVILLE ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Roseville, CA. ROSEVILLE ENDOSCOPY CENTER, LLC NPI is 1376592014. The provider is registered as an organization entity type.

The provider's business location address is:

4 MEDICAL PLAZA DR
SUITE #210
ROSEVILLE, CA
ZIP 95661-815
Phone: (916) 773-8780
Fax: (916) 773-8793

The provider's authorized official is Mark Ross .
The authorized official title is Administrator and has the following contact phone number (916) 781-5263.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 2/5/2013.

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	261QE0800X	Clinic/Center	Endoscopy	030000786	CALIFORNIA	Yes

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
1	ZZZ31753Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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