Endoscopy Center of Chula Vista a Corporation

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

SUR01046F Issued in CA

Legal business name

ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION

Practice address

681 3Rd Ave
Suite B
Chula Vista, CA 91910-5703

Phone

(619) 425-2150

Fax

(619) 425-2848

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Singer, M.D.

Title

President

Phone

(619) 425-2150

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Endoscopy Center of Chula VistaCCN 05C0001046

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Errol Richard Korn, M.D.

  • Gastroenterology Physician
  • Chula Vista, CA
  • NPI 1922041052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1093802225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 3RD AVE",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-425-2150",
            "fax_number": "619-425-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 3RD AVE",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-425-2150",
            "fax_number": "619-425-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-425-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "SUR01046F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01046F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Vaccarezza, DDS, Inc
• Joy Emmanuel-Cochrane, D.O.
• Emotional Healing, Licensed Clinical Social Worker, Apc
• Empower Nutrition LLC
• Mario Carrancho Encarnacion, REGISTERED NURSE
• Charles Eneje
• Claire Enemark
• Eng a Dental Corporation
• Abigail Engelhard
• Sybil A England-Markun, BA

• Endoscopy Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.