ENDOSCOPY CENTER OF SANTA MONICA LLC NPI 1629009071

NPI Information

  • NPI: 1629009071
  • Provider Name: ENDOSCOPY CENTER OF SANTA MONICA LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 05D1027262
  • Address: 12400 WILSHIRE BLVD
    SUITE 100
    LOS ANGELES, CA
    ZIP 90025
  • Phone: (310) 442-5566

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NPI Details

ENDOSCOPY CENTER OF SANTA MONICA LLC is an endoscopy clinic center in Los Angeles, CA. ENDOSCOPY CENTER OF SANTA MONICA LLC NPI is 1629009071. The provider is registered as an organization entity type.

The provider's business location address is:

12400 WILSHIRE BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90025-019
Phone: (310) 442-5566
Fax: (310) 442-5561

The provider's authorized official is Marc D Wishingrad .
The authorized official title is Chief Financial Officer and has the following contact phone number (310) 442-5566.

The CLIA number assigned to this NPI record is 05D1027262 - 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)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 2/1/2023.

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
1261QE0800XClinic/CenterEndoscopyYes

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: 3/30/2025

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