NPIMap

Organization Active NPI

Redwood City Endoscopy Suite LP

  • Ambulatory Surgical Clinic/Center
  • Redwood City, CA
National Provider Identifier
1164435319
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
REDWOOD CITY ENDOSCOPY SUITE LP
Practice address
100 Arch Rd
Suite 3
Redwood City, CA 94062
Phone
(650) 365-2911
Fax
(650) 299-1255
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Samuel N Marcus, MD PH D
Title
Co-Founder
Phone
(650) 496-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

100 Arch Rd
Suite 3
Redwood City, CA 94062

Mailing address

PO Box 39000
Dept 33691-04
San Francisco, CA 94139
Phone (650) 493-7729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1164435319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39000",
            "address_2": "DEPT 33691-04",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94139",
            "telephone_number": "650-493-7729",
            "fax_number": "650-493-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCH RD",
            "address_2": "SUITE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-365-2911",
            "fax_number": "650-299-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD CITY ENDOSCOPY SUITE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "650-496-4141",
        "authorized_official_credential": "MD PH D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.