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ODYSSEY ASC ENDOSCOPY CENTER LLC
NPI 1093037020
Clinic/Center - Endoscopy in Irvine, CA

Active since February 18, 2010CLIA 05D2013940 · Waiver
22 ODYSSEY, STE 175, IRVINE, CA 92618(949) 654-8963 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Odyssey Asc Endoscopy Center Llc NPPES

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

ODYSSEY ASC ENDOSCOPY CENTER LLC (NPI 1093037020) is a healthcare organization registered as an endoscopy in Irvine, California and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Jun-ichi Ohara, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093037020
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameODYSSEY ASC ENDOSCOPY CENTER LLC
Location Address22 ODYSSEY, STE 175Irvine, CA 92618-3186
Mailing Address22 Odyssey, Ste 175Irvine, CA 92618-3186 · (949) 654-8963
Phone(949) 654-8963
Organization SubpartNo
Authorized OfficialJun-ichi OharaMedical Director · (949) 654-8963
Enumeration DateFebruary 18, 2010
Last NPPES UpdateFebruary 18, 2020
✔ NPI 1093037020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
22 ODYSSEY, Irvine, CA 92618
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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 05D2013940

Odyssey ASC Endoscopy Center · Irvine, CA
Active · expires Apr 17, 2028
CLIA Number05D2013940
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorJun Ichi Ohara
Laboratory Phone(949) 654-8963
Laboratory LocationOdyssey ASC Endoscopy Center22 Odyssey Ste 175, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 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.
32 services30 patients
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.
14 services14 patients

Other Providers at the Same Location NPPES 20

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

MARY BETH L SINCHAI M.D.
Family Medicine
22 ODYSSEY, 270B
IRVINE, CA 92618
Orange County (949) 861-8828
MALEK K. MANSOUR, ANWAAR R. MANSOUR AND YAHYA M. MANSOUR D.D.S., INC.
Dentist (General Practice)
22 ODYSSEY, 265
IRVINE, CA 92618
Orange County (949) 585-1515
ADVANCE MOVEMENT PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
22 ODYSSEY, SUITE 260
IRVINE, CA 92618
Orange County (949) 690-3298
DR. MATTHEW WANG O.D.
Optometrist (Corneal and Contact Management)
22 ODYSSEY, SUITE 150
IRVINE, CA 92618
Orange County (949) 733-3390
SWATI MULCHAND KENIA PT
Physical Therapist
22 ODYSSEY, STE 165
IRVINE, CA 92618
Orange County (949) 727-2192
ZHIJUN WANG MD INC
Pediatrics
22 ODYSSEY, SUITE 105
IRVINE, CA 92618
Orange County (949) 733-0988
SUSAN VARGHESE MAMMEN
Physical Therapist
22 ODYSSEY, #165
IRVINE, CA 92618
Orange County (949) 727-2192
DR. MICHAEL J YOO M.D.
Plastic Surgery
22 ODYSSEY, SUITE 270A
IRVINE, CA 92618
Orange County (949) 791-7941

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 Odyssey ASC Endoscopy Center LLC's NPI number?

The NPI number for Odyssey ASC Endoscopy Center LLC is 1093037020. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Odyssey ASC Endoscopy Center LLC located?

Odyssey ASC Endoscopy Center LLC is located at 22 Odyssey Ste 175, Irvine, CA 92618. The listed phone number is (949) 654-8963.

What is Odyssey ASC Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Odyssey ASC Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2013940) is associated with this NPI, valid through April 17, 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 Odyssey ASC Endoscopy Center LLC was last updated on February 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.