ENDOSCOPY CENTER OF SANTA MARIA INC NPI 1730124124

NPI Information

NPI: 1730124124
Provider Name: ENDOSCOPY CENTER OF SANTA MARIA INC

Former Legal Business Name: THE ENDOSCOPY CENTER OF SANTA MARIA, INC.

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1315 S MILLER ST
SUITE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 349-2945
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ENDOSCOPY CENTER OF SANTA MARIA INC is an ambulatory surgical clinic center in Santa Maria, CA. ENDOSCOPY CENTER OF SANTA MARIA INC NPI is 1730124124. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Endoscopy Center Of Santa Maria, Inc..

The provider's business location address is:

1315 S MILLER ST
SUITE 101
SANTA MARIA, CA
ZIP 93454-910
Phone: (805) 349-2945
Fax: (805) 349-7006

The provider's authorized official is Rosie Moreno .
The authorized official title is Supervisor and has the following contact phone number (805) 287-9107.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 5/24/2019.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	050000572	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	SUR01595F	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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