PACIFIC ENDOSCOPY LLC (NPI# 1316291867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316291867 |
| Entity Type | Organization |
| Organization Name | PACIFIC ENDOSCOPY LLC |
| Other Organization Name | ATHERTON ENDOSCOPY CENTER |
| Practice Address |
3351 El Camino Real Ste 220 Atherton CA 94027-3811 |
| Mailing Address |
401 Commerce St Ste 600 Nashville TN 37219-2446 |
| Practice Telephone | 6503653700 |
| Mailing Telephone | 6153456900 |
| Mailing Fax Number | 6156917214 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | DAVID W. HOLST (PRESIDENT BOARD OF MANAGERS) |
| Authorized Official Telephone | 6153456900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Atherton Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
3351 EL CAMINO REAL STE 220 |
| City | ATHERTON |
| State | CA |
| Zip Code | 94027-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182973 | Winston Canute Vaughan | Specialist | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2006-10-03 |
| 1679074280 | George Alex Lazo Jr. | Psychologist | 3351 El Camino Real, Suite 100, Atherton, CA 94027 | 2018-02-28 |
| 1922366186 | Gardner Family Health Network Inc | Clinic/Center | 3351 El Camino Real, Suite 100, Atherton, CA 94027-3811 | 2012-04-25 |
| 1992095830 | Andrew Tomlinson | Otolaryngology | 3351 El Camino Real, Suite 200, Atherton, CA 94027-3811 | 2011-04-12 |
| 1922255421 | Amir Reza Ghorbani | Dentist | 3351 El Camino Real, #222, Atherton, CA 94027-3811 | 2008-08-26 |
| 1225295694 | Kathleen Marie Low | Nurse Practitioner | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2008-05-21 |
| 1295904852 | Christina Nicole Walker | Registered Nurse | 3351 El Camino Real, Atherton, CA 94027-3811 | 2008-02-27 |
| 1922291160 | Jane S. Weston, M.d., Medical Corporation | Plastic Surgery | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-08-21 |
| 1770781791 | Umang Mehta | Otolaryngology | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-07-11 |
| 1104038272 | Evan Martin Bloch | Specialist | 3351 El Camino Real, Ste 101, Atherton, CA 94027-3802 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078984 | David Shen Dental Corp | Dentist | 3351 El Camino Real #222, Atherton, CA 94027 | 2012-02-22 |
| 1730442054 | Maria Esther Rivera | Pediatrics | 3351 El Camino Real Ste 100, Atherton, CA 94027 | 2012-06-21 |
| 1760584650 | Seyed Babak Mostaan | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-09-02 |
| 1912019464 | Nazila Doroodian | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-08-31 |
| 1053616136 | Virginia Marguerite Anderson | Psychologist | 19 Irving Ave, Atherton, CA 94027-2007 | 2011-01-20 |
| 1366457293 | Fatima Tehranchi | Internal Medicine | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-07-29 |
| 1376645200 | Cyrus S. Safai | Radiology | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-09-01 |
| 1679926224 | Robyn Comfort | Contractor | 84 James Ave, Atherton, CA 94027-2058 | 2016-07-19 |
| 1447654348 | Benjamin Aaron Halpren | Specialist | 168 Catalpa Dr, Atherton, CA 94027-2104 | 2014-10-21 |
| 1558508150 | Sarahmarie Theresa Vargas | Registered Nurse | 199 Oak Grove Ave, Atherton, CA 94027-3217 | 2009-01-19 |
| Find all providers in zip 94027 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366515306 | Pacific Endoscopy Services | Clinic/Center | 3351 El Camino Real Ste 220, Atherton, CA 94027-3802 | 2006-11-16 |
| 1992827992 | Atherton Plastic Surgery Center | Clinic/Center | 3351 El Camino Real, Suite 200, Atherton, CA 94027-3811 | 2007-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.