BROCKTON ENDOSCOPY SURGERY CENTER LP
NPI 1447472659
Clinic/Center - Ambulatory Surgical in Riverside, CA

Active since May 03, 2007CLIA 05D2301600 · Waiver
6958 BROCKTON AVE, SUITE 100, RIVERSIDE, CA 92506(951) 788-4400 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brockton Endoscopy Surgery Center Lp NPPES

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

BROCKTON ENDOSCOPY SURGERY CENTER LP (NPI 1447472659) is a healthcare organization registered as an ambulatory surgical in Riverside, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Vinod Mishra, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1447472659
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBROCKTON ENDOSCOPY SURGERY CENTER LP
Location Address6958 BROCKTON AVE, SUITE 100Riverside, CA 92506-3829
Mailing Address6958 Brockton Ave, Suite 100Riverside, CA 92506-3829 · (951) 788-4400
Organization SubpartNo
Authorized OfficialVinod MishraMedical Director · (951) 788-4400
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 7, 2015
NPI 1447472659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6958 BROCKTON AVE, Riverside, CA 92506

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 184 times for 177 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 73 times for 72 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 131 times for 131 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 18 times for 18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 57 times for 57 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2301600
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 28, 2026
Certificate Expiration Date
March 27, 2028
Laboratory Director
SHEN HUAFENG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brockton Endoscopy Surgery Center Lp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
6958 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Specialist
6958 BROCKTON AVE, SUITE 203
RIVERSIDE, CA 92506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447472659, enumerated as an "organization" on May 03, 2007.

The provider is located at 6958 BROCKTON AVE SUITE 100 RIVERSIDE, CA 92506 and the phone number is (951) 788-4400.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.