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ADVANCED ENDOSCOPY AND PAIN CENTER LLC
NPI 1205195716
Clinic/Center - Ambulatory Surgical in Lancaster, CA

Active since May 04, 2012CLIA 05D1035053 · Waiver
1753 W AVENUE J, STE A, LANCASTER, CA 93534(661) 206-0555 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Endoscopy And Pain Center Llc NPPES

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

ADVANCED ENDOSCOPY AND PAIN CENTER LLC (NPI 1205195716) is a healthcare organization registered as an ambulatory surgical in Lancaster, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists David Holst, President, Board Of Managers, as its authorized official.

NPPES Registry Identity

NPI1205195716
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED ENDOSCOPY AND PAIN CENTER LLC
Location Address1753 W AVENUE J, STE ALancaster, CA 93534-9823
Mailing Address1753 W Avenue J, Ste ALancaster, CA 93534-9823 · (661) 206-0555
Phone(661) 206-0555
Organization SubpartNo
Authorized OfficialDavid HolstPresident, Board Of Managers · 61534566900
Enumeration DateMay 4, 2012
Last NPPES UpdateApril 5, 2016
✔ NPI 1205195716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1753 W AVENUE J, Lancaster, CA 93534
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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 05D1035053

Advanced Endoscopy And Pain Center LLC · Lancaster, CA
Active · expires Dec 19, 2026
CLIA Number05D1035053
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorChidamparanatha Thiagarajah
Laboratory Phone(661) 206-0555
Laboratory LocationAdvanced Endoscopy And Pain Center LLC1753 W Avenue J, Ste A, Lancaster, CA 93534
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 8

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
221 services86 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
135 services51 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
106 services46 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
68 services26 patients
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479
This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.
44 services19 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.
25 services25 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.

INDU JAIN M.D., INC
Specialist
1753 W AVENUE J, SUITE A
LANCASTER, CA 93534
Los Angeles County (661) 206-0555
MS. SHELLY SINGH D.O.
Internal Medicine (Gastroenterology)
1753 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 945-7853

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 Advanced Endoscopy And Pain Center LLC's NPI number?

The NPI number for Advanced Endoscopy And Pain Center LLC is 1205195716. It was assigned to this organization in the NPPES registry on May 4, 2012.

Where is Advanced Endoscopy And Pain Center LLC located?

Advanced Endoscopy And Pain Center LLC is located at 1753 W Avenue J Ste A, Lancaster, CA 93534. The listed phone number is (661) 206-0555.

What is Advanced Endoscopy And Pain Center LLC's specialty?

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

Does Advanced Endoscopy And Pain Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1035053) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Endoscopy And Pain Center LLC was last updated on April 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.