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

NPI Status: Active since July 05, 2006

Contact Information

12400 WILSHIRE BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90025
Phone: (310) 442-5566
Fax: (310) 442-5561

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  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 05D1027262
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-24-2026

About ENDOSCOPY CENTER OF SANTA MONICA LLC

This page provides the complete NPI Profile along with additional information for Endoscopy Center Of Santa Monica Llc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1629009071 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Marc D Wishingrad M.d. (Chief Financial Officer)

NPI
1629009071
Provider Name
ENDOSCOPY CENTER OF SANTA MONICA LLC
Entity Type
Organization
Location Address
12400 WILSHIRE BLVD SUITE 100 LOS ANGELES, CA 90025
Location Phone
(310) 442-5566
Location Fax
(310) 442-5561
Mailing Address
12400 WILSHIRE BLVD SUITE 100 LOS ANGELES, CA 90025
Mailing Phone
(310) 442-5566
Mailing Fax
(310) 442-5561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2006
Last Update Date
02-01-2023
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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

DR. MARC D WISHINGRAD M.D.

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(310) 442-5566

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 555 times for 543 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 751 times for 740 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 13 times for 13 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 73 times for 73 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 54 times for 54 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 11 times for 11 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 38 times for 38 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 66 times for 63 patients

Removal of large bowel tissue using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

This service was performed 14 times for 14 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 223 times for 218 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
05D1027262
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 25, 2024
Certificate Expiration Date
June 24, 2026
Laboratory Director
WILLIAM KATKOV, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Endoscopy Center Of Santa Monica Llc 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 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 1629009071, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 2 → 4 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 0 + 0 + 1 + 8 + 0 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1629009071.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist
12400 WILSHIRE BLVD, STE. 230
LOS ANGELES, CA 90025
Marriage & Family Therapist
12400 WILSHIRE BLVD, SUITE 230
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629009071, enumerated as an "organization" on July 05, 2006.

The provider is located at 12400 WILSHIRE BLVD SUITE 100 LOS ANGELES, CA 90025 and the phone number is (310) 442-5566.

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