Organization Active NPI

Euclid Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
National Provider Identifier
1205853041
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in CA
Legal business name
EUCLID ENDOSCOPY CENTER, LLC
Practice address
286 Euclid Ave Ste 109
San Diego, CA 92114-3611
Phone
(619) 266-3332
Fax
(619) 266-6006
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Katherine Judkins
Title
Vice President
Phone
(615) 240-3770

Specialties & licenses 1

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

Addresses

Primary practice location

286 Euclid Ave Ste 109
San Diego, CA 92114-3611

Mailing address

1A Burton Hills Blvd. Suite 300
Attn: L&C Dept.
Nashville, TN 37215-6153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000389 CA Part B Supplier - Ambulatory Surgical Center 1052404787 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Euclid Endoscopy Center LPCCN 05C0001794
Medicare certification status
ActiveFrom the Provider of Services file

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
05D1058216Euclid Endoscopy Center LP286 Euclid Ave Ste 109, San Diego, CA 92114Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1205853041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD. SUITE 300",
            "address_2": "ATTN: L&C DEPT.",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143611",
            "telephone_number": "619-266-3332",
            "fax_number": "619-266-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3770"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.