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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: August 16, 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
Phone(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
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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 05D2301600

Brockton Endoscopy Surgery Center · Riverside, CA
Active · expires Mar 27, 2028
CLIA Number05D2301600
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorShen Huafeng
Laboratory Phone(951) 788-4400
Laboratory LocationBrockton Endoscopy Surgery Center6958 Brockton Ave Ste 100, Riverside, CA 92506
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 4

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.
157 services149 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.
149 services149 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.
74 services74 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.
60 services60 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.

DR. GALEN CHUNG-LIANG HUANG MD
Internal Medicine (Gastroenterology)
6958 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Riverside County (951) 788-1450
RIVERSIDE GASTROENTEROLOGY ASSOCIATES INC.
Specialist
6958 BROCKTON AVE, SUITE 203
RIVERSIDE, CA 92506
Riverside County (951) 788-3880

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 Brockton Endoscopy Surgery Center LP's NPI number?

The NPI number for Brockton Endoscopy Surgery Center LP is 1447472659. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Brockton Endoscopy Surgery Center LP located?

Brockton Endoscopy Surgery Center LP is located at 6958 Brockton Ave Suite 100, Riverside, CA 92506. The listed phone number is (951) 788-4400.

What is Brockton Endoscopy Surgery Center LP's specialty?

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

Does Brockton Endoscopy Surgery Center LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2301600) is associated with this NPI, valid through March 27, 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 Brockton Endoscopy Surgery Center LP was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.