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CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.
NPI 1033226600
Clinic/Center - Ambulatory Surgical in Cerritos, CA

Active since August 23, 2006CLIA 05D2066295 · Waiver
11845 SOUTH ST, CERRITOS, CA 90703(562) 809-8082 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cerritos Endoscopic Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERRITOS ENDOSCOPIC MEDICAL CENTER, INC. (NPI 1033226600) is a healthcare organization registered as an ambulatory surgical in Cerritos, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Jaesoo Pak, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033226600
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCERRITOS ENDOSCOPIC MEDICAL CENTER, INC.
Location Address11845 SOUTH STCerritos, CA 90703-6825
Mailing Address11845 South StreetCerritos, CA 90703 · (562) 809-8082
Phone(562) 809-8082
Organization SubpartNo
Authorized OfficialJaesoo PakMedical Director · (562) 809-8082
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 6, 2009
✔ NPI 1033226600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed · W22596
11845 SOUTH ST, Cerritos, CA 90703
Open in Google Maps ↗

Other Identifiers 1

Medicare PINW22596

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2066295

Cerritos Endoscopic Medical Center · Cerritos, CA
Active · expires Sep 23, 2027
CLIA Number05D2066295
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJaesoo Pak, MD
Laboratory Phone(562) 809-8082
Laboratory LocationCerritos Endoscopic Medical Center11845 South Street, Cerritos, CA 90703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAESOO PAK, MD
Clinic/Center (Endoscopy)
11845 SOUTH ST
CERRITOS, CA 90703
Los Angeles County (562) 809-2103
ROMINA RAMOS CRNA
Nurse Anesthetist, Certified Registered
11845 SOUTH ST
CERRITOS, CA 90703
Los Angeles County (562) 809-8082
TEEDA M MARTOCCIA CRNA
Nurse Anesthetist, Certified Registered
11845 SOUTH ST
CERRITOS, CA 90703
Los Angeles County (562) 809-8082
MARIA T. VALMIDIANO-WILSON CRNA, MSN
Nurse Anesthetist, Certified Registered
11845 SOUTH ST
CERRITOS, CA 90703
Los Angeles County (562) 809-8082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cerritos Endoscopic Medical Center, Inc.'s NPI number?

The NPI number for Cerritos Endoscopic Medical Center, Inc. is 1033226600. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Cerritos Endoscopic Medical Center, Inc. located?

Cerritos Endoscopic Medical Center, Inc. is located at 11845 South St, Cerritos, CA 90703. The listed phone number is (562) 809-8082.

What is Cerritos Endoscopic Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Cerritos Endoscopic Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2066295) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cerritos Endoscopic Medical Center, Inc. was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.