SIERRA ENDOSCOPY CENTER LLC NPI 1760440515

NPI Information

  • NPI: 1760440515
  • Provider Name: SIERRA ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D0994419
  • Address: 300 SIERRA COLLEGE DR
    STE.105
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (530) 273-0527

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NPI Details

SIERRA ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Grass Valley, CA. SIERRA ENDOSCOPY CENTER, LLC NPI is 1760440515. The provider is registered as an organization entity type.

The provider's business location address is:

300 SIERRA COLLEGE DR
STE.105
GRASS VALLEY, CA
ZIP 95945-082
Phone: (530) 273-0527

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 05D0994419 - other 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 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)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Dilation of esophagus (HCPCS:43450)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 1/11/2025.

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 Surgical230000350CALIFORNIAYes

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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