SOUTH COUNTY ENDOSCOPY CENTER
NPI 1376307728
Clinic/Center - Ambulatory Surgical in Mission Viejo, CA

Active since February 07, 2024CLIA 05D2038610 · Waiver
26921 CROWN VALLEY PKWY STE 110, MISSION VIEJO, CA 92691(949) 706-9900 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2024, Feb 7, 2024 (2 updates tracked since 2024).

About South County Endoscopy Center NPPES

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

SOUTH COUNTY ENDOSCOPY CENTER (NPI 1376307728) is a healthcare organization registered as an ambulatory surgical in Mission Viejo, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Jay Mckim, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1376307728
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMISSION VIEJO ENDOSCOPY PARTNERS, LLC
Location Address26921 CROWN VALLEY PKWY STE 110Mission Viejo, CA 92691-6501
Mailing Address26921 Crown Valley Pkwy Ste 110Mission Viejo, CA 92691-6501 · (949) 706-9900
Organization SubpartNo
Authorized OfficialJay MckimSvp & Cfo · (949) 680-3443
Enumeration DateFebruary 7, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1376307728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
26921 CROWN VALLEY PKWY STE 110, Mission Viejo, CA 92691

Other Names 1

Doing Business AsSouth County Endoscopy Center

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 05D2038610

South County Endoscopy Center · Mission Viejo, CA
Active · expires May 15, 2028
CLIA Number05D2038610
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorDonald D. Abrahm
Laboratory Phone(562) 964-3523
Laboratory LocationSouth County Endoscopy Center26921 Crown Valley Pkwy Ste 110, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
31 services31 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.
16 services16 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.
11 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
26921 CROWN VALLEY PKWY STE 110
MISSION VIEJO, CA 92691

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 Mission Viejo Endoscopy Partners, LLC's NPI number?

The NPI number for Mission Viejo Endoscopy Partners, LLC is 1376307728. It was assigned to this organization in the NPPES registry on February 7, 2024. The provider is doing business as South County Endoscopy Center.

Where is Mission Viejo Endoscopy Partners, LLC located?

Mission Viejo Endoscopy Partners, LLC is located at 26921 Crown Valley Pkwy Ste 110, Mission Viejo, CA 92691. The listed phone number is (949) 706-9900.

What is Mission Viejo Endoscopy Partners, LLC's specialty?

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

Does Mission Viejo Endoscopy Partners, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2038610) is associated with this NPI, valid through May 15, 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 Mission Viejo Endoscopy Partners, LLC was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.