ENDOSCOPY CENTER OF SOUTH BAY LP (NPI# 1053391169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053391169 |
Entity Type | Organization |
Organization Name | ENDOSCOPY CENTER OF SOUTH BAY LP |
Other Organization Name | ENDOSCOPY CENTER OF THE SOUTH BAY |
Practice Address |
23560 Madison St Suite 109 Torrance CA 90505-4709 |
Practice Telephone | 3103256331 |
Practice Fax Number | 3103256335 |
Mailing Telephone | 3103256331 |
Mailing Fax Number | 3103256335 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2013-04-17 |
Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
930000465 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ZZZ31558Z | 05 |
Other Name | Type Code |
---|---|
Endoscopy Center of the South Bay | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275764334 | Endoscopy Center of South Bay Lp | Nurse Anesthetist, Certified Registered | 23560 Madison St, Suite 109, Torrance, CA 90505-4708 | 2009-08-06 |
Street Address |
23560 MADISON ST SUITE 109 |
City | TORRANCE |
State | CA |
Zip Code | 90505-4709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922473776 | Torrance Vascular Center A Medical Group Inc | Surgery | 23560 Madison St, Suite 110, Torrance, CA 90505-4708 | 2015-12-04 |
1366843369 | Daryn Nishikawa | Dentist | 23560 Madison St, Suite 202, Torrance, CA 90505-4708 | 2014-09-09 |
1194074104 | Benjamin Luke Eroen | Dentist | 23560 Madison St, Suite 214, Torrance, CA 90505-4708 | 2012-09-05 |
1295051720 | Roger L. Gillespie, D.d.s., Inc. | Dentist | 23560 Madison St, Suite 215, Torrance, CA 90505-4708 | 2010-04-08 |
1275764334 | Endoscopy Center of South Bay Lp | Nurse Anesthetist, Certified Registered | 23560 Madison St, Suite 109, Torrance, CA 90505-4708 | 2009-08-06 |
1407012065 | Michael B Schwartz, M.d., Inc | Psychiatry & Neurology | 23560 Madison St, Suite 210, Torrance, CA 90505-4708 | 2008-08-04 |
1649480120 | Salvacion Torre | Pediatrics | 23560 Madison St, Suite 206, Torrance, CA 90505-4708 | 2007-05-23 |
1114132891 | Zhi Ging Lo | Acupuncturist | 23560 Madison St, Suite 210, Torrance, CA 90505-4708 | 2007-05-14 |
1497968382 | Lawrence W Kneisley, M.d., Inc. | Specialist | 23560 Madison St, #205, Torrance, CA 90505-4708 | 2007-05-07 |
1104038744 | Ronald D. Farran, M.d., Inc. | Specialist | 23560 Madison St, #205, Torrance, CA 90505-4708 | 2007-05-04 |
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1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
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Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1568944833 | Goodlife Surgery Center LLC | Clinic/Center | 1231 Cabrillo Ave Unit 201a, Torrance, CA 90501-2867 | 2018-09-04 |
1730606724 | Center for Total Beauty Surgery, LLC | Clinic/Center | 1231 Cabrillo Ave Ste 201a, Torrance, CA 90501-2867 | 2017-08-29 |
1265895858 | Great Life Surgery Center Inc | Clinic/Center | 3445 Pacific Coast Hwy # 250, Torrance, CA 90505-6658 | 2016-03-31 |
1932560208 | Advanced Surgical Center of Torrance, LLC | Clinic/Center | 22525 Maple Ave Ste 101, Torrance, CA 90505-2700 | 2016-03-15 |
1376923714 | Pacific West Surgery Center, LLC | Clinic/Center | 23000 Crenshaw Blvd Ste 101, Torrance, CA 90505-3052 | 2015-06-01 |
1447476668 | Sba Outpatient Surgery Center, Inc | Clinic/Center | 3600 Lomita Boulevard, Suite 101, Torrance, CA 90505-3900 | 2007-04-17 |
1790909117 | Sharp Surgery Center | Clinic/Center | 2557 Pacific Coast Highway, Torrance, CA 90505 | 2007-04-13 |
1104922772 | Lindon Ken Kawahara Md Dmd | Clinic/Center | 22410 Hawthorne Blvd, Suite 3, Torrance, CA 90505-2539 | 2006-09-14 |
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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.