PASADENA ENDOSCOPY CENTER INC
NPI 1336247642
Clinic/Center - Endoscopy in Pasadena, CA

Q: What is Pasadena Endoscopy Center Inc's NPI number?

The NPI number for Pasadena Endoscopy Center Inc is 1336247642. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Pasadena Endoscopy Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Active since September 20, 2006CLIA 05D1001728 · Waiver

55 W VALLEY ST, PASADENA, CA 91105(626) 793-9900(626) 793-9944 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Pasadena Endoscopy Center Inc NPPES

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

PASADENA ENDOSCOPY CENTER INC (NPI 1336247642) is a healthcare organization registered as an endoscopy in Pasadena, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Richard Nickowitz, President/medical Director, as its authorized official.

NPPES Registry Identity

NPI1336247642

Entity TypeOrganization

Primary Taxonomy261QE0800X

Legal Business NamePASADENA ENDOSCOPY CENTER INC

Location Address55 W VALLEY STPasadena, CA 91105-2015

Mailing Address55 W Valley StPasadena, CA 91105-2015 · (626) 793-9900 · Fax (626) 793-9944

Phone(626) 793-9900

Fax(626) 793-9944

Organization SubpartNo

Authorized OfficialRichard NickowitzPresident/medical Director · (626) 793-9900

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 11, 2014

✔ NPI 1336247642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities

Taxonomy Code261QE0800X

License✔ Licensed in CA · 930000974

55 W VALLEY ST, Pasadena, CA 91105

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified05C0001537CA

Other490005486CA · Railroad Medicare Pin

Medicare PINS051537CA

MedicaidSUR01537FCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pasadena Endoscopy Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20120627000282Non-DME Part B · Ambulatory Surgical CenterDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D1001728

Pasadena Endoscopy Center Inc · Pasadena, CA

Active · expires Jul 17, 2028

CLIA Number05D1001728

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 18, 2026

Certificate Expiration DateJuly 17, 2028

Laboratory DirectorRichard E. Nickowitz MD

Laboratory Phone(626) 793-9900

Laboratory LocationPasadena Endoscopy Center Inc55 West Valley Street, Pasadena, CA 91105

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 13

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.

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.

1,006 services1,002 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.

654 services646 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.

406 services404 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.

298 services297 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.

219 services219 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.

105 services105 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

62 services62 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

60 services56 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

48 services48 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

27 services26 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

16 services16 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.

14 services14 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

13 services12 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 Pasadena Endoscopy Center Inc's NPI number?

The NPI number for Pasadena Endoscopy Center Inc is 1336247642. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Pasadena Endoscopy Center Inc located?

Pasadena Endoscopy Center Inc is located at 55 W Valley St, Pasadena, CA 91105. The listed phone number is (626) 793-9900.

What is Pasadena Endoscopy Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Is Pasadena Endoscopy Center Inc enrolled in Medicare?

Yes. Pasadena Endoscopy Center Inc is registered in the Medicare PECOS enrollment system.

When is Pasadena Endoscopy Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Pasadena Endoscopy Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1001728) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pasadena Endoscopy Center Inc was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.