EAST BAY ENDOSCOPY CENTER L P
NPI 1396741807
Clinic/Center - Ambulatory Surgical in Emeryville, CA

Active since June 21, 2005CLIA 05D0969791 · Waiver
5858 HORTON ST, STE 100, EMERYVILLE, CA 94608(510) 654-4554(510) 654-4594 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2024, Jul 21, 2022 (2 updates tracked since 2022).

About East Bay Endoscopy Center L P NPPES

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

EAST BAY ENDOSCOPY CENTER L P (NPI 1396741807) is a healthcare organization registered as an ambulatory surgical in Emeryville, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Bradley Heaton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396741807
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST BAY ENDOSCOPY CENTER L P
Location Address5858 HORTON ST, STE 100Emeryville, CA 94608-2007
Mailing Address5858 Horton St, Suite 100Emeryville, CA 94608-2006 · (510) 654-4554
Fax(510) 654-4594
Organization SubpartNo
Authorized OfficialBradley HeatonCeo · (916) 566-4907
Enumeration DateJune 21, 2005
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
NPI 1396741807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5858 HORTON ST, Emeryville, CA 94608

Other Identifiers 4

Other20889Aaahc Organization Id
OtherZZZH0112ZCA · Blue Shield Of Ca
MedicaidAURO1463FCA
Other140000597CA · State License

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 05D0969791

East Bay Endoscopy Center · Emeryville, CA
Active · expires Jan 24, 2028
CLIA Number05D0969791
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorHuilan Cheng
Laboratory Phone(510) 654-4554
Laboratory LocationEast Bay Endoscopy Center5858 Horton St Ste 100, Emeryville, CA 94608
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.
451 services447 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.
335 services333 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.
333 services324 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.
73 services72 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.
61 services61 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.
19 services19 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.

Chiropractor
5858 HORTON ST, SUITE 155
EMERYVILLE, CA 94608

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 East Bay Endoscopy Center L P's NPI number?

The NPI number for East Bay Endoscopy Center L P is 1396741807. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is East Bay Endoscopy Center L P located?

East Bay Endoscopy Center L P is located at 5858 Horton St Ste 100, Emeryville, CA 94608. The listed phone number is (510) 654-4554.

What is East Bay Endoscopy Center L P's specialty?

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

Does East Bay Endoscopy Center L P hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0969791) is associated with this NPI, valid through January 24, 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 East Bay Endoscopy Center L P was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.