PACIFIC ENDOSCOPY AND SURGERY CENTER, LLC
NPI 1104006006
Clinic/Center - Ambulatory Surgical in Fountain Valley, CA

Q: What is Pacific Endoscopy And Surgery Center, LLC's specialty?

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

Active since November 07, 2007CLIA 05D1036772 · Waiver

17815 NEWHOPE ST, SUITE R, FOUNTAIN VALLEY, CA 92708(714) 432-8881 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2017, Jun 16, 2016 (2 updates tracked since 2016).

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About Pacific Endoscopy And Surgery Center, Llc NPPES

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

PACIFIC ENDOSCOPY AND SURGERY CENTER, LLC (NPI 1104006006) is a healthcare organization registered as an ambulatory surgical in Fountain Valley, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Eric Boon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104006006

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePACIFIC ENDOSCOPY AND SURGERY CENTER, LLC

Location Address17815 NEWHOPE ST, SUITE RFountain Valley, CA 92708-5426

Mailing Address17815 Newhope St, Suite RFountain Valley, CA 92708-5426 · (714) 432-8881

Phone(714) 432-8881

Organization SubpartNo

Authorized OfficialEric BoonAuthorized Official · (480) 567-0269

Enumeration DateNovember 7, 2007

Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration

NPPES CertifiedOctober 15, 2024

✔ NPI 1104006006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

17815 NEWHOPE ST, Fountain Valley, CA 92708

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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 05D1036772

Pacific Endoscopy And Surgery Center, LLC · Fountain Valley, CA

Active · expires Feb 8, 2027

CLIA Number05D1036772

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorSurinder S. Saini MD

Laboratory Phone(714) 432-8881

Laboratory LocationPacific Endoscopy And Surgery Center, LLC17815 Newhope Street Suite R, Fountain Valley, CA 92708

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 9

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.

301 services301 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.

283 services280 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.

248 services248 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.

93 services93 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

43 services43 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.

36 services36 patients

Other Providers at the Same Location NPPES 2

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

NEWHOPE IMAGING CENTER LLC

Radiology (Diagnostic Radiology)

17815 NEWHOPE ST, SUITE S
FOUNTAIN VALLEY, CA 92708

Orange County (714) 431-0303

PACIFIC ENDOSCOPY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

17815 NEWHOPE ST, SUITE R
FOUNTAIN VALLEY, CA 92708

Orange County (714) 432-8881

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 Pacific Endoscopy And Surgery Center, LLC's NPI number?

The NPI number for Pacific Endoscopy And Surgery Center, LLC is 1104006006. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Pacific Endoscopy And Surgery Center, LLC located?

Pacific Endoscopy And Surgery Center, LLC is located at 17815 Newhope St Suite R, Fountain Valley, CA 92708. The listed phone number is (714) 432-8881.

What is Pacific Endoscopy And Surgery Center, LLC's specialty?

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

Does Pacific Endoscopy And Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1036772) is associated with this NPI, valid through February 8, 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 Pacific Endoscopy And Surgery Center, LLC was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.