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ENDOSCOPY CENTER OF THE CENTRAL COAST
NPI 1487629986
Clinic/Center - Ambulatory Surgical in San Luis Obispo, CA

Active since February 20, 2006CLIA 05D1043295 · Waiver
77 CASA ST, SUITE 106, SAN LUIS OBISPO, CA 93405(805) 541-1021(805) 541-3142 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Endoscopy Center Of The Central Coast NPPES

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

ENDOSCOPY CENTER OF THE CENTRAL COAST (NPI 1487629986) is a healthcare organization registered as an ambulatory surgical in San Luis Obispo, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1487629986
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN LUIS OBISPO CA ENDOSCOPY ASC LP
Location Address77 CASA ST, SUITE 106San Luis Obispo, CA 93405-5803
Mailing Address77 Casa St, Suite 106San Luis Obispo, CA 93405-5803 · (805) 541-1021 · Fax (805) 541-3142
Phone(805) 541-1021
Fax(805) 541-3142
Organization SubpartNo
Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1487629986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 050000424
77 CASA ST, San Luis Obispo, CA 93405
Open in Google Maps ↗

Other Names 1

Doing Business AsEndoscopy Center Of The Central Coast

Other Identifiers 2

MedicaidSUR01318FCA
OtherP00638978CA · Railroad

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 05D1043295

Endoscopy Center Of The Central Coast · San Luis Obispo, CA
Active · expires Jul 19, 2027
CLIA Number05D1043295
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorPaul Wetzel
Laboratory Phone(805) 541-1021
Laboratory LocationEndoscopy Center Of The Central Coast77 Casa Street Suite 106, San Luis Obispo, CA 93405
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 8

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.
334 services334 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.
213 services213 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.
149 services148 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.
124 services123 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.
112 services112 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.
42 services38 patients

Other Providers at the Same Location NPPES 20

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

LAUREN ELVIRA MIRABDOLLAH N.P.
Nurse Practitioner
77 CASA ST, SUITE 201-204
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 269-1500
FIRST CHOICE PHYSICIAN PARTNERS
Internal Medicine
77 CASA ST, SUITE 108
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 541-6225
DR. STEPHEN J TIDIK M.D.
Surgery
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-8993
DR. LESLIE G KASANOFF DC
Chiropractor
77 CASA ST, 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 269-1500
MRS. JESSICA M MALONE NP
Nurse Practitioner
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-0411
ADAM JOSEPH JANETTE DDS
Dentist (Oral and Maxillofacial Surgery)
77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 541-5611
FREDERICK HASEMAN MD
Specialist
77 CASA ST, SUITE 203
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-6471
ADAM J. JANETTE, DDS INC.
Dentist (Oral and Maxillofacial Surgery)
77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 541-5611

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 San Luis Obispo Ca Endoscopy ASC LP's NPI number?

The NPI number for San Luis Obispo Ca Endoscopy ASC LP is 1487629986. It was assigned to this organization in the NPPES registry on February 20, 2006. The provider is doing business as Endoscopy Center Of The Central Coast.

Where is San Luis Obispo Ca Endoscopy ASC LP located?

San Luis Obispo Ca Endoscopy ASC LP is located at 77 Casa St Suite 106, San Luis Obispo, CA 93405. The listed phone number is (805) 541-1021.

What is San Luis Obispo Ca Endoscopy ASC LP's specialty?

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

Does San Luis Obispo Ca Endoscopy ASC LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1043295) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Luis Obispo Ca Endoscopy ASC LP was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.