SHADELANDS ADVANCED ENDOSCOPY INSTITUTE, LLC
NPI 1184798837
Clinic/Center - Ambulatory Surgical in Walnut Creek, CA

Q: What is Shadelands Advanced Endoscopy Institute, LLC's specialty?

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

Active since November 17, 2006CLIA 05D1066451 · Waiver

498 N WIGET LN, WALNUT CREEK, CA 94598(925) 933-3600(925) 933-7900 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 20, 2026, Dec 11, 2017, Dec 8, 2017 (3 updates tracked since 2017).

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About Shadelands Advanced Endoscopy Institute, Llc NPPES

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

SHADELANDS ADVANCED ENDOSCOPY INSTITUTE, LLC (NPI 1184798837) is a healthcare organization registered as an ambulatory surgical in Walnut Creek, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184798837

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSHADELANDS ADVANCED ENDOSCOPY INSTITUTE, LLC

Location Address498 N WIGET LNWalnut Creek, CA 94598-2408

Mailing Address498 N Wiget LnWalnut Creek, CA 94598-2408 · (925) 948-8143 · Fax (925) 215-4540

Phone(925) 933-3600

Fax(925) 933-7900

Organization SubpartNo

Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954

Enumeration DateNovember 17, 2006

Last NPPES UpdateMay 20, 20263 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1184798837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

498 N WIGET LN, Walnut Creek, CA 94598

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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 05D1066451

Shadelands Advanced Endoscopy Institute, Inc · Walnut Creek, CA

Active · expires Mar 22, 2027

CLIA Number05D1066451

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 23, 2025

Certificate Expiration DateMarch 22, 2027

Laboratory DirectorDr. Brian T. Chin

Laboratory Phone(925) 933-3600

Laboratory LocationShadelands Advanced Endoscopy Institute, Inc498 North Wiget Lane, Walnut Creek, CA 94598

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 10

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.

260 services256 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.

224 services209 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.

223 services218 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.

55 services55 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

25 services25 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.

23 services21 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 Shadelands Advanced Endoscopy Institute, LLC's NPI number?

The NPI number for Shadelands Advanced Endoscopy Institute, LLC is 1184798837. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Shadelands Advanced Endoscopy Institute, LLC located?

Shadelands Advanced Endoscopy Institute, LLC is located at 498 N Wiget Ln, Walnut Creek, CA 94598. The listed phone number is (925) 933-3600.

What is Shadelands Advanced Endoscopy Institute, LLC's specialty?

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

Does Shadelands Advanced Endoscopy Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1066451) is associated with this NPI, valid through March 22, 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 Shadelands Advanced Endoscopy Institute, LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.