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SOUTHLAND ENDOSCOPY CENTER
NPI 1982744231
Clinic/Center - Ambulatory Surgical in Hemet, CA

Active since February 07, 2007CLIA 05D2137131 · Waiver
949 CALHOUN PL, SUITE B, HEMET, CA 92543(951) 929-1177(951) 765-9111 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southland Endoscopy Center NPPES

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

SOUTHLAND ENDOSCOPY CENTER (NPI 1982744231) is a healthcare organization registered as an ambulatory surgical in Hemet, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Sreenivasa R Nakka, M.d, F.a.c.p, F.a.c.g, as its authorized official.

NPPES Registry Identity

NPI1982744231
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHLAND ENDOSCOPY CENTER
Location Address949 CALHOUN PL, SUITE BHemet, CA 92543-4403
Mailing Address949 Calhoun Pl, Suite BHemet, CA 92543-4403 · (951) 929-1177 · Fax (951) 765-9111
Phone(951) 929-1177
Fax(951) 765-9111
Organization SubpartNo
Authorized OfficialSreenivasa R NakkaM.d, F.a.c.p, F.a.c.g · (951) 929-1177
Enumeration DateFebruary 7, 2007
Last NPPES UpdateSeptember 12, 2011
✔ NPI 1982744231 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 · 240000545
949 CALHOUN PL, Hemet, CA 92543
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthland Endoscopy Center

Other Identifiers 2

Medicare ID-Type Unspecified00A300750CA
Medicare ID-Type Unspecified00A385250CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southland Endoscopy Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111122000489Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2137131

Southland Endoscopy Center · Hemet, CA
Active · expires Sep 20, 2027
CLIA Number05D2137131
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorSreenivasa R Nakka, MD
Laboratory Phone(951) 929-1177
Laboratory LocationSouthland Endoscopy Center949 Calhoun Pl Ste B, Hemet, CA 92543
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 5

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 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.
87 services85 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.
84 services83 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.
39 services38 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
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.
21 services21 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
12 services12 patients

Other Providers at the Same Location NPPES 15

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

SREENIVASA R. NAKKA, INC
Internal Medicine (Gastroenterology)
949 CALHOUN PL, STE A
HEMET, CA 92543
Riverside County (951) 929-1177
DHARMARAJAN RAMASWAMY M.D
Internal Medicine (Rheumatology)
949 CALHOUN PL, SUITE F
HEMET, CA 92543
Riverside County (951) 652-5000
MR. SREENIVASA RAO NAKKA M.D,F.A.C.P,F.A.C.G
Internal Medicine
949 CALHOUN PL, SUITE A
HEMET, CA 92543
Riverside County (951) 929-1177
LLESENIA MORA P.A.
Physician Assistant (Medical)
949 CALHOUN PL, D
HEMET, CA 92543
Riverside County (951) 652-8000
DIPESHKUMAR K GANDHI MD
Internal Medicine (Cardiovascular Disease)
949 CALHOUN PL, SUITE D
HEMET, CA 92543
Riverside County (951) 652-8000
CHANDRAKANT V MEHTA M.D.
Specialist
949 CALHOUN PL, SUITE F
HEMET, CA 92543
Riverside County (951) 652-5000
C.V.MEHTA MD A MEDICAL CORP.
Neuromusculoskeletal Medicine, Sports Medicine
949 CALHOUN PL, SUITE F
HEMET, CA 92543
Riverside County (951) 652-5000
DR. RATAN L TIWARI M.D.
Internal Medicine (Interventional Cardiology)
949 CALHOUN PL, SUITE D
HEMET, CA 92543
Riverside County (951) 652-8000

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 Southland Endoscopy Center's NPI number?

The NPI number for Southland Endoscopy Center is 1982744231. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Southland Endoscopy Center located?

Southland Endoscopy Center is located at 949 Calhoun Pl Suite B, Hemet, CA 92543. The listed phone number is (951) 929-1177.

What is Southland Endoscopy Center's specialty?

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

Is Southland Endoscopy Center enrolled in Medicare?

Yes. Southland Endoscopy Center is registered in the Medicare PECOS enrollment system.

When is Southland Endoscopy Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Southland Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2137131) is associated with this NPI, valid through September 20, 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 Southland Endoscopy Center was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.