ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
NPI 1497788145
Clinic/Center - Endoscopy in Santa Monica, CA

Active since July 08, 2006CLIA 05D0642564 · Waiver
2336 SANTA MONICA BLVD STE 204, SANTA MONICA, CA 90404(310) 453-4477(310) 315-0204 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jul 11, 2024, Dec 6, 2023 and 1 more (4 updates tracked since 2019).

About Endoscopy Center Of Southern California NPPES

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

ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA (NPI 1497788145) is a healthcare organization registered as an endoscopy in Santa Monica, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Eric Boon, Ao, as its authorized official.

NPPES Registry Identity

NPI1497788145
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameENDOSCOPY CENTER OF SOUTHERN CALIFORNIA LLC
Location Address2336 SANTA MONICA BLVD STE 204Santa Monica, CA 90404-2938
Mailing Address2336 Santa Monica Blvd, Suite #204Santa Monica, CA 90404-2095 · (310) 829-6789 · Fax (310) 315-0204
Fax(310) 315-0204
Organization SubpartNo
Authorized OfficialEric BoonAo · (480) 567-0269
Enumeration DateJuly 8, 2006
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1497788145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
2336 SANTA MONICA BLVD STE 204, Santa Monica, CA 90404

Other Names 1

Doing Business AsEndoscopy Center Of Southern California

Other Identifiers 1

MedicaidSUR01193FCA

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 05D0642564

Endoscopy Center Of Southern California · Santa Monica, CA
Active · expires Nov 15, 2026
CLIA Number05D0642564
Laboratory TypeOutpatient Endoscopy Ctr
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorRudolph A. Bedford
Laboratory Phone(310) 453-4477
Laboratory LocationEndoscopy Center Of Southern California2336 Santa Monica Blvd, Ste #204, Santa Monica, CA 90404
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 11

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.
571 services569 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.
508 services490 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.
257 services255 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.
151 services151 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.
96 services95 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.
39 services39 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.

Nurse Anesthetist, Certified Registered
2336 SANTA MONICA BLVD STE 204
SANTA MONICA, CA 90404

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 Endoscopy Center Of Southern California LLC's NPI number?

The NPI number for Endoscopy Center Of Southern California LLC is 1497788145. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as Endoscopy Center Of Southern California.

Where is Endoscopy Center Of Southern California LLC located?

Endoscopy Center Of Southern California LLC is located at 2336 Santa Monica Blvd Ste 204, Santa Monica, CA 90404. The listed phone number is (310) 453-4477.

What is Endoscopy Center Of Southern California LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Endoscopy Center Of Southern California LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0642564) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endoscopy Center Of Southern California LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.