SACRAMENTO MIDTOWN ENDOSCOPY CENTER, LLC
NPI 1730563610
Clinic/Center - Ambulatory Surgical in Sacramento, CA

Q: What is Sacramento Midtown Endoscopy Center, LLC's specialty?

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

Active since July 10, 2015CLIA 05D0716355 · Waiver

3941 J ST STE 460, SACRAMENTO, CA 95819(916) 733-6940(916) 733-6934 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Nov 4, 2019, Jul 31, 2019 and 7 more (10 updates tracked since 2016).

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About Sacramento Midtown Endoscopy Center, Llc NPPES

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

SACRAMENTO MIDTOWN ENDOSCOPY CENTER, LLC (NPI 1730563610) is a healthcare organization registered as an ambulatory surgical in Sacramento, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730563610

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSACRAMENTO MIDTOWN ENDOSCOPY CENTER, LLC

Location Address3941 J ST STE 460Sacramento, CA 95819-3633

Mailing Address3941 J St Ste 460Sacramento, CA 95819-3633 · (916) 733-6940 · Fax (916) 733-6934

Phone(916) 733-6940

Fax(916) 733-6934

Organization SubpartNo

Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269

Enumeration DateJuly 10, 2015

Last NPPES UpdateOctober 11, 202410 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1730563610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3941 J ST STE 460, Sacramento, CA 95819

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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 05D0716355

Sacramento Midtown Endoscopy Center · Sacramento, CA

Active · expires Aug 31, 2026

CLIA Number05D0716355

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorGautam Gandhi, MD

Laboratory Phone(916) 733-6940

Laboratory LocationSacramento Midtown Endoscopy Center3941 J St 460, Sacramento, CA 95819

CLIA data matches this NPI record on: 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.

345 services345 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.

314 services313 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.

275 services271 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.

43 services43 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.

37 services37 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.

33 services33 patients

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 Sacramento Midtown Endoscopy Center, LLC's NPI number?

The NPI number for Sacramento Midtown Endoscopy Center, LLC is 1730563610. It was assigned to this organization in the NPPES registry on July 10, 2015.

Where is Sacramento Midtown Endoscopy Center, LLC located?

Sacramento Midtown Endoscopy Center, LLC is located at 3941 J St Ste 460, Sacramento, CA 95819. The listed phone number is (916) 733-6940.

What is Sacramento Midtown Endoscopy Center, LLC's specialty?

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

Does Sacramento Midtown Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0716355) is associated with this NPI, valid through August 31, 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 Sacramento Midtown Endoscopy Center, LLC was last updated on October 11, 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.