Organization Active NPI

Zadeh Enterprises LLC

  • Ambulatory Surgical Clinic/Center
  • La Quinta, CA
National Provider Identifier
1043043250
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Oct 7, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2313812Advanced Endoscopy Centers47120 Dune Palms Road Suite 111, La Quinta, CA 92253Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

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

Verify at the official NPI Registry.