ADVANCED ENDOSCOPY AND PAIN CENTER LLC NPI 1205195716

NPI Information

  • NPI: 1205195716
  • Provider Name: ADVANCED ENDOSCOPY AND PAIN CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1035053
  • Address: 1753 W AVENUE J
    STE A
    LANCASTER, CA
    ZIP 93534
  • Phone: (661) 206-0555

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NPI Details

ADVANCED ENDOSCOPY AND PAIN CENTER LLC is an ambulatory surgical clinic center in Lancaster, CA. ADVANCED ENDOSCOPY AND PAIN CENTER LLC NPI is 1205195716. The provider is registered as an organization entity type.

The provider's business location address is:

1753 W AVENUE J
STE A
LANCASTER, CA
ZIP 93534-823
Phone: (661) 206-0555

The provider's authorized official is David Holst .
The authorized official title is President, Board Of Managers and has the following contact phone number 61534566900.

The CLIA number assigned to this NPI record is 05D1035053 - ambulatory surgery center 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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • 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)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Tying of dilated veins of stomach and/or esophagus using a flexible endoscope (HCPCS:43244)
  • Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)
  • Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Dilation of esophagus (HCPCS:43450)
  • Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43247)

The enumeration date for this NPI number is 5/4/2012 and was last updated on 4/5/2016.

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

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: 3/30/2025

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