Advanced Endoscopy and Pain Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED ENDOSCOPY AND PAIN CENTER LLC

Practice address

1753 W Avenue J
Ste a
Lancaster, CA 93534-9823

Phone

(661) 206-0555

NPI assigned

May 4, 2012

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Holst

Title

President, Board of Managers

Phone

61534566900

Specialties & licenses 1

Addresses

Listed as

Advanced Endoscopy and Pain Center LLCCCN 05C0001730

Medicare certification status

Terminated Voluntary: merger or closure, Mar 2, 2025From 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Aepc Anesthesia LLC

  • Pain Medicine (Anesthesiology) Physician
  • Nashville, TN
  • NPI 1477846673

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivaik Tyagi, M.D.

  • Gastroenterology Physician
  • Lancaster, CA
  • NPI 1073612545
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1205195716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W AVENUE J",
            "address_2": "STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935349823",
            "telephone_number": "661-206-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W AVENUE J",
            "address_2": "STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935349823",
            "telephone_number": "661-206-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOSCOPY AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "61534566900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omude Adigheji, PMHNP
• Adjusted Situations for All
• Dana E Adoptante
• Leila Lea Adriano, RN
• Mariangela Adrianzen
• Advanced Imaging Center Inc
• Advanced Imaging Center Inc
• Advanced Imaging Center, Inc.
• Advanced Sleep Medicine Services Inc
• Advanced Smile Dentistry

• Ambulatory Surgical Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.