Active NPI
Zadeh Enterprises LLC
- Ambulatory Surgical Clinic/Center
- La Quinta, CA
National Provider Identifier
1043043250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ZADEH ENTERPRISES LLC
- Practice address
- 47120 Dune Palms Rd Ste 111
La Quinta, CA 92253-2097 - Phone
- (760) 564-0500
- Fax
- (760) 564-0100
- NPI assigned
- Aug 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Homan Abdollahzadeh, MD
- Title
- Medical Director
- Phone
- (760) 564-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
47120 Dune Palms Rd Ste 111
La Quinta, CA 92253-2097
Mailing address
47120 Dune Palms Rd Ste 111
La Quinta, CA 92253-2097
Phone (760) 219-0155
Other names 1
- Advanced Endoscopy Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241121000504 | CA | Part B Supplier - Ambulatory Surgical Center | 1254866783 | Practice locations: La Quinta, CA |
Ambulatory surgical center certification: CCN 55C0001197
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ADVANCED ENDOSCOPY CENTERS
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 14, 2025
- Last certification
- Jul 10, 2025
- Facility address
- 47120 Dune Palms Rd. Suite 111
La Quinta, CA 92253
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2313812 | Advanced Endoscopy Centers | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
47120 Dune Palms Rd
Ste 111
La Quinta, CA 92253
Phone (760) 219-0155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1043043250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47120 DUNE PALMS RD STE 111",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532097",
"telephone_number": "760-219-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47120 DUNE PALMS RD STE 111",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532097",
"telephone_number": "760-564-0500",
"fax_number": "760-564-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZADEH ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-22",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "ABDOLLAHZADEH",
"authorized_official_first_name": "HOMAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-564-0500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Endoscopy Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.