WILSHIRE ENDOSCOPY CENTER LLC
NPI 1174073506
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since October 10, 2016CLIA 05D2101636 · Waiver
3200 WILSHIRE BLVD, STE 101, LOS ANGELES, CA 90010(213) 739-9988 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2024, Oct 10, 2016 (2 updates tracked since 2016).

About Wilshire Endoscopy Center Llc NPPES

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

WILSHIRE ENDOSCOPY CENTER LLC (NPI 1174073506) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Eric Boon, Officer/ao, as its authorized official.

NPPES Registry Identity

NPI1174073506
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWILSHIRE ENDOSCOPY CENTER LLC
Location Address3200 WILSHIRE BLVD, STE 101Los Angeles, CA 90010-1333
Mailing Address3200 Wilshire BlvdLos Angeles, CA 90010-1333
Organization SubpartNo
Authorized OfficialEric BoonOfficer/ao · (480) 567-0269
Enumeration DateOctober 10, 2016
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1174073506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3200 WILSHIRE BLVD, Los Angeles, CA 90010

Accepted Insurance

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 05D2101636

Wilshire Endoscopy Center, LLC · Los Angeles, CA
Active · expires Sep 3, 2027
CLIA Number05D2101636
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorAndrew Kim
Laboratory Phone(213) 739-9988
Laboratory LocationWilshire Endoscopy Center, LLC3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010
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 5

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.
128 services128 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.
82 services81 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.
30 services30 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.
15 services15 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.
14 services14 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.

Physiological Laboratory
3200 WILSHIRE BLVD, SUITE 308
LOS ANGELES, CA 90010
Nurse Anesthetist, Certified Registered
3200 WILSHIRE BLVD, SUITE 101
LOS ANGELES, CA 90010

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 Wilshire Endoscopy Center LLC's NPI number?

The NPI number for Wilshire Endoscopy Center LLC is 1174073506. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is Wilshire Endoscopy Center LLC located?

Wilshire Endoscopy Center LLC is located at 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010. The listed phone number is (213) 739-9988.

What is Wilshire Endoscopy Center LLC's specialty?

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

Does Wilshire Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2101636) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilshire Endoscopy Center LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company list Wilshire Endoscopy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilshire Endoscopy Center LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.