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EL SEGUNDO ENDOSCOPY CENTER LLC
NPI 1073272811
Clinic/Center - Ambulatory Surgical in El Segundo, CA

Active since December 09, 2021CLIA 05D2264119 · Waiver
2110 E EL SEGUNDO BLVD STE 120, EL SEGUNDO, CA 90245(310) 375-1246 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, May 27, 2022, Dec 9, 2021 (3 updates tracked since 2021).

About El Segundo Endoscopy Center Llc NPPES

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

EL SEGUNDO ENDOSCOPY CENTER LLC (NPI 1073272811) is a healthcare organization registered as an ambulatory surgical in El Segundo, California and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Suzette S. Chan, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073272811
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEL SEGUNDO ENDOSCOPY CENTER LLC
Location Address2110 E EL SEGUNDO BLVD STE 120El Segundo, CA 90245-4547
Mailing Address23441 Madison St Ste 220Torrance, CA 90505-4756 · (310) 375-1246
Phone(310) 375-1246
Organization SubpartNo
Authorized OfficialSuzette S. ChanClinical Director · (310) 935-5673
Enumeration DateDecember 9, 2021
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1073272811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2110 E EL SEGUNDO BLVD STE 120, El Segundo, CA 90245
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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 05D2264119

El Segundo Endoscopy Center LLC · El Segundo, CA
Active · expires Jul 10, 2028
CLIA Number05D2264119
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorAzam S. Riyaz
Laboratory Phone(424) 341-4800
Laboratory LocationEl Segundo Endoscopy Center LLC2110 E El Segundo Blvd Suite 120, El Segundo, CA 90245
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
170 services170 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
146 services141 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
118 services116 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
40 services40 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
36 services36 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
17 services15 patients

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 El Segundo Endoscopy Center LLC's NPI number?

The NPI number for El Segundo Endoscopy Center LLC is 1073272811. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is El Segundo Endoscopy Center LLC located?

El Segundo Endoscopy Center LLC is located at 2110 E El Segundo Blvd Ste 120, El Segundo, CA 90245. The listed phone number is (310) 375-1246.

What is El Segundo Endoscopy Center LLC's specialty?

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

Does El Segundo Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2264119) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for El Segundo Endoscopy Center LLC was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.