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ENDOSCOPY CENTER OF SANTA MONICA LLC
NPI 1629009071
Clinic/Center - Endoscopy in Los Angeles, CA

Active since July 05, 2006CLIA 05D1027262 · Waiver
12400 WILSHIRE BLVD, SUITE 100, LOS ANGELES, CA 90025(310) 442-5566(310) 442-5561 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2023, Nov 7, 2019 (2 updates tracked since 2019).

About Endoscopy Center Of Santa Monica Llc NPPES

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

ENDOSCOPY CENTER OF SANTA MONICA LLC (NPI 1629009071) is a healthcare organization registered as an endoscopy in Los Angeles, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Marc D Wishingrad, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1629009071
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameENDOSCOPY CENTER OF SANTA MONICA LLC
Location Address12400 WILSHIRE BLVD, SUITE 100Los Angeles, CA 90025-1019
Mailing Address12400 Wilshire Blvd, Suite 100Los Angeles, CA 90025-1019 · (310) 442-5566 · Fax (310) 442-5561
Phone(310) 442-5566
Fax(310) 442-5561
Organization SubpartNo
Authorized OfficialMarc D WishingradChief Financial Officer · (310) 442-5566
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1629009071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
12400 WILSHIRE BLVD, Los Angeles, CA 90025
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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 05D1027262

Endoscopy Center Of Santa Monica, LLC · Los Angeles, CA
Active · expires Jun 24, 2028
CLIA Number05D1027262
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorWilliam Katkov, MD
Laboratory Phone(310) 442-5566
Laboratory LocationEndoscopy Center Of Santa Monica, LLC12400 Wilshire Blvd Ste 100, Los Angeles, CA 90025
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.

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.
770 services766 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.
603 services581 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.
193 services191 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.
99 services99 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
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.
56 services54 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.
44 services44 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.

MR. WILLIAM VALDIVIA-MAIRESSE PSY.D
Psychologist
12400 WILSHIRE BLVD, STE. 230
LOS ANGELES, CA 90025
Los Angeles County (424) 229-1838
MS. NICOLE HORTON
Marriage & Family Therapist
12400 WILSHIRE BLVD, SUITE 230
LOS ANGELES, CA 90025
Los Angeles County (310) 425-3031

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 Santa Monica LLC's NPI number?

The NPI number for Endoscopy Center Of Santa Monica LLC is 1629009071. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Endoscopy Center Of Santa Monica LLC located?

Endoscopy Center Of Santa Monica LLC is located at 12400 Wilshire Blvd Suite 100, Los Angeles, CA 90025. The listed phone number is (310) 442-5566.

What is Endoscopy Center Of Santa Monica LLC's specialty?

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

Does Endoscopy Center Of Santa Monica LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1027262) is associated with this NPI, valid through June 24, 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 Endoscopy Center Of Santa Monica LLC was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.