MID PENINSULA ENDOSCOPY CENTER
NPI 1548583651
Clinic/Center - Endoscopy in Burlingame, CA

NPI Status: Active since March 03, 2010

Contact Information

1720 EL CAMINO REAL
SUITE 100
BURLINGAME, CA
ZIP 94010
Phone: (650) 373-1970

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NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 05D0919937
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-09-2027

About MID PENINSULA ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Mid Peninsula Endoscopy Center, a provider established in Burlingame, California operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1548583651 assigned on March 2010. The practitioner's primary taxonomy code is 261QE0800X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mid Peninsula Endoscopy Center. The authorized official of this NPI record is William D Davis (Ceo Adn Authorized Official)

NPI
1548583651
Provider Legal Name
PENINSULA ENDOSCOPY CENTER LLC
Other Organization Name
MID PENINSULA ENDOSCOPY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1720 EL CAMINO REAL SUITE 100 BURLINGAME, CA 94010
Location Phone
(650) 373-1970
Mailing Address
1720 EL CAMINO REAL SUITE 100 BURLINGAME, CA 94010
Mailing Phone
(650) 373-1970
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2010
Last Update Date
06-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM D DAVIS

Authorized Official Title
CEO ADN AUTHORIZED OFFICIAL
Authorized Official Phone
(916) 566-4770

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 437 times for 426 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 498 times for 496 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 168 times for 168 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 109 times for 109 patients

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

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 30 times for 30 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 15 times for 15 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 22 times for 22 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 588 times for 586 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
05D0919937
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 10, 2025
Certificate Expiration Date
August 09, 2027
Laboratory Director
DR. ANNE THAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Peninsula Endoscopy Center 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.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548583651, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 0 + 8 + 6 + 6 + 1 + 0 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1548583651.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1720 EL CAMINO REAL, SUITE 130
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1720 EL CAMINO REAL, SUITE 150
BURLINGAME, CA 94010
Internal Medicine (Cardiovascular Disease)
1720 EL CAMINO REAL, STE 100
BURLINGAME, CA 94010
Internal Medicine (Sleep Medicine)
1720 EL CAMINO REAL, SUITE 150
BURLINGAME, CA 94010
Pediatrics
1720 EL CAMINO REAL, SUITE 205
BURLINGAME, CA 94010
Pediatrics
1720 EL CAMINO REAL
BURLINGAME, CA 94010
Pediatrics
1720 EL CAMINO REAL, #205
BURLINGAME, CA 94010
Pediatrics
1720 EL CAMINO REAL, SUITE 205
BURLINGAME, CA 94010
Internal Medicine
1720 EL CAMINO REAL, SUITE 160
BURLINGAME, CA 94010
Internal Medicine
1720 EL CAMINO REAL, SUITE 160
BURLINGAME, CA 94010
Optometrist
1720 EL CAMINO REAL
BURLINGAME, CA 94010
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1720 EL CAMINO REAL
BURLINGAME, CA 94010
1720 EL CAMINO REAL, SUITE 101
BURLINGAME, CA 94010
Family Medicine
1720 EL CAMINO REAL, SUITE 130
BURLINGAME, CA 94010
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1720 EL CAMINO REAL
BURLINGAME, CA 94010
Ophthalmology
1720 EL CAMINO REAL, SUITE 235
BURLINGAME, CA 94010
Specialist
1720 EL CAMINO REAL, STE 145
BURLINGAME, CA 94010
Pediatrics
1720 EL CAMINO REAL, SUITE 205
BURLINGAME, CA 94010
1720 EL CAMINO REAL, SUITE 101
BURLINGAME, CA 94010
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1720 EL CAMINO REAL, SUITE 10
BURLINGAME, CA 94010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548583651, enumerated as an "organization" on March 03, 2010.

The provider is located at 1720 EL CAMINO REAL SUITE 100 BURLINGAME, CA 94010 and the phone number is (650) 373-1970.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.