ENDOSCOPY CENTER OF SANTA MONICA LLC (NPI# 1629009071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629009071 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF SANTA MONICA LLC |
| Practice Address |
12400 Wilshire Blvd Suite 100 Los Angeles CA 90025-1019 |
| Practice Telephone | 3104425566 |
| Practice Fax Number | 3104425561 |
| Mailing Telephone | 3104425566 |
| Mailing Fax Number | 3104425561 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | DR. MARC D WISHINGRAD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3104425566 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01664F | 05 |
| Street Address |
12400 WILSHIRE BLVD SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962953794 | Nicole Horton | Marriage & Family Therapist | 12400 Wilshire Blvd, Suite 230, Los Angeles, CA 90025-1019 | 2016-10-17 |
| 1245460070 | William Valdivia-mairesse | Psychologist | 12400 Wilshire Blvd, Ste. 230, Los Angeles, CA 90025-1019 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1033537949 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-03-29 |
| 1871914291 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-01-02 |
| 1366554495 | Century City Endoscopy LLC | Clinic/Center | 2080 Century Park E, #1200, Los Angeles, CA 90067-2001 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
| 1700816733 | Advanced Endoscopy Center Inc | Clinic/Center | 386 W Olive Ave, Suite B, Merced, CA 95348-3137 | 2006-07-04 |
| 1376592014 | Roseville Endoscopy Center, LLC | Clinic/Center | 4 Medical Plaza Dr, Suite #210, Roseville, CA 95661-2815 | 2006-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.