PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER
NPI 1720129893
Clinic/Center - Ambulatory Surgical in Mission Viejo, CA

Active since February 09, 2007CLIA 05D1010545 · Waiver
26421 CROWN VALLEY PKWY, SUITE 140B, MISSION VIEJO, CA 92691(949) 365-8836 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Gastroenterology Endoscopy Center NPPES

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

PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER (NPI 1720129893) is a healthcare organization registered as an ambulatory surgical in Mission Viejo, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Om P Chaurasia, President, as its authorized official.

NPPES Registry Identity

NPI1720129893
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER
Location Address26421 CROWN VALLEY PKWY, SUITE 140BMission Viejo, CA 92691-8564
Mailing Address26421 Crown Valley Pkwy, Suite 140bMission Viejo, CA 92691-8564 · (949) 365-8836
Organization SubpartNo
Authorized OfficialOm P ChaurasiaPresident · (949) 365-8836
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJune 3, 2015
NPI 1720129893 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 · 060000855
26421 CROWN VALLEY PKWY, Mission Viejo, CA 92691

Other Identifiers 4

Other060000855CA · State Facility License
OtherAS1598CA · Blue Cross Facility Id
Medicare PINS051598CA
OtherZZZH3075ZCA · Blue Shield Facility Id

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 05D1010545

Pacific Gastroenterology Endoscopy Ctr · Mission Viejo, CA
Active · expires Mar 16, 2027
CLIA Number05D1010545
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorOm P. Chaurasia MD
Laboratory Phone(949) 365-8836
Laboratory LocationPacific Gastroenterology Endoscopy Ctr26421 Crown Valley Pkwy,suite 140B, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
147 services145 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.
98 services93 patients
Destruction of polyp or growth of large bowel using a flexible endoscope 45388
This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.
90 services88 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.
53 services53 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.
19 services19 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.
14 services13 patients

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
26421 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Community/Behavioral Health
26421 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Internal Medicine (Gastroenterology)
26421 CROWN VALLEY PKWY, SUITE 140A
MISSION VIEJO, CA 92691
Internal Medicine (Gastroenterology)
26421 CROWN VALLEY PKWY, SUITE 140A
MISSION VIEJO, CA 92691

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 Pacific Gastroenterology Endoscopy Center's NPI number?

The NPI number for Pacific Gastroenterology Endoscopy Center is 1720129893. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Pacific Gastroenterology Endoscopy Center located?

Pacific Gastroenterology Endoscopy Center is located at 26421 Crown Valley Pkwy Suite 140B, Mission Viejo, CA 92691. The listed phone number is (949) 365-8836.

What is Pacific Gastroenterology Endoscopy Center's specialty?

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

Does Pacific Gastroenterology Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1010545) is associated with this NPI, valid through March 16, 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 Pacific Gastroenterology Endoscopy Center was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.