SAN DIEGO ENDOSCOPY CENTER NPI 1952368482

NPI Information

  • NPI: 1952368482
  • Provider Name: SAN DIEGO ENDOSCOPY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2316809
  • Address: 4033 3RD AVE
    SUITE 106
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 497-2888

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NPI Details

SAN DIEGO ENDOSCOPY CENTER is an ambulatory surgical clinic center in San Diego, CA. SAN DIEGO ENDOSCOPY CENTER NPI is 1952368482. The provider is registered as an organization entity type.

The provider's business location address is:

4033 3RD AVE
SUITE 106
SAN DIEGO, CA
ZIP 92103-117
Phone: (619) 497-2888

The provider's authorized official is Richard L Sharff .
The authorized official title is Vp/secretary and has the following contact phone number (205) 545-2572.

The CLIA number assigned to this NPI record is 05D2316809 - other - iop 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)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • 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)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)

The enumeration date for this NPI number is 4/27/2006 and was last updated on 3/27/2015.

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 SurgicalYes

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
1S051247MEDICARE PINCALIFORNIA

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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