PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER NPI 1720129893

NPI Information

NPI: 1720129893
Provider Name: PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
26421 CROWN VALLEY PKWY
SUITE 140B
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 365-8836
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PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER is an ambulatory surgical clinic center in Mission Viejo, CA. PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER NPI is 1720129893. The provider is registered as an organization entity type.

The provider's business location address is:

26421 CROWN VALLEY PKWY
SUITE 140B
MISSION VIEJO, CA
ZIP 92691-564
Phone: (949) 365-8836

The provider's authorized official is Om P Chaurasia .
The authorized official title is President and has the following contact phone number (949) 365-8836.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 6/3/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	060000855	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	060000855	OTHER	CALIFORNIA	STATE FACILITY LICENSE
2	AS1598	OTHER	CALIFORNIA	BLUE CROSS FACILITY ID
3	S051598	MEDICARE PIN	CALIFORNIA
4	ZZZH3075Z	OTHER	CALIFORNIA	BLUE SHIELD FACILITY ID

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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