Agmg Endoscopy Center a General Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AGMG ENDOSCOPY CENTER A GENERAL PARTNERSHIP

Practice address

1211 W la Palma Ave
Ste 301
Anaheim, CA 92801-2811

Phone

(714) 284-0737

Fax

(714) 284-0720

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Carol Leasure

Title

Office Manager

Phone

(714) 778-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Agmg Endoscopy Center a General PartnershipCCN 05C0001510

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 4

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

• Kevin D Kuettel, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1740286384

  CA

  Medicare reassignment NPD
• Brian Paul Riff, MD

  • Gastroenterology Physician
  • Anaheim, CA
  • NPI 1194969030

  CA

  Medicare reassignment NPD
• Dennis S Riff, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1922004662

  CA

  Medicare reassignment NPD
• Peter John Winkle, MD

  • Gastroenterology Physician
  • Cypress, CA
  • NPI 1992923460

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1104822808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "STE 301",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012811",
            "telephone_number": "714-284-0737",
            "fax_number": "714-284-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "STE 301",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012811",
            "telephone_number": "714-284-0737",
            "fax_number": "714-284-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGMG ENDOSCOPY CENTER A GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "LEASURE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-778-1300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Agaibi
• Tiffany Nichole Agbo
• Maissa Rstoum Agha, DDS
• Djuliya Aghayan
• Agile Occupational Medicine, PC
• Muskan Agrawal
• Eliana Aguayo Morales, SLPA
• Alejandra Aguayo, B.A.
• Joanna Maria Aguayo
• Kristine C Aguda

• All providers in Anaheim, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.