VENTURA ENDOSCOPY CENTER LLC NPI 1710081443

NPI Information

  • NPI: 1710081443
  • Provider Name: VENTURA ENDOSCOPY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1015124
  • Address: 5810 RALSTON STREET
    SUITE 101
    VENTURA, CA
    ZIP 93003
  • Phone: (805) 650-5500

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NPI Details

VENTURA ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Ventura, CA. VENTURA ENDOSCOPY CENTER LLC NPI is 1710081443. The provider is registered as an organization entity type.

The provider's business location address is:

5810 RALSTON STREET
SUITE 101
VENTURA, CA
ZIP 93003
Phone: (805) 650-5500
Fax: (805) 650-5505

The provider's authorized official is Tesu N Lin .
The authorized official title is Medical Director/cms Authorized Off and has the following contact phone number (805) 641-6525.

The CLIA number assigned to this NPI record is 05D1015124 - 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.

  • 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)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/11/2011.

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 Surgical50000592CALIFORNIAYes

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
1S051656MEDICARE PIN

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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