ENDOSCOPY CENTER OF SAN JOSE
NPI 1194712109
Clinic/Center - Ambulatory Surgical in San Jose, CA
About Endoscopy Center Of San Jose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDOSCOPY CENTER OF SAN JOSE (NPI 1194712109) is a healthcare organization registered as an ambulatory surgical in San Jose, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Maribel Rivera, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 05D1039487
Executive Endoscopy Inc Endoscopy Center Of San Jose · San Jose, CAOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Executive Endoscopy, Inc's NPI number?
The NPI number for Executive Endoscopy, Inc is 1194712109. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is doing business as Endoscopy Center Of San Jose.
Where is Executive Endoscopy, Inc located?
Executive Endoscopy, Inc is located at 2100 Forest Ave 109, San Jose, CA 95128. The listed phone number is (408) 297-2314.
What is Executive Endoscopy, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Executive Endoscopy, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1039487) is associated with this NPI, valid through April 13, 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 Executive Endoscopy, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
