Endoscopy Center of South Bay LP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ENDOSCOPY CENTER OF SOUTH BAY LP

Practice address

23560 Madison St
Suite 109
Torrance, CA 90505-4708

Phone

(310) 325-6331

Fax

(310) 325-6335

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Billie A Payne

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Endoscopy Center of the South Bay Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Endoscopy Center of South Bay LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Endoscopy Center of the South Bay LP

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1053391169
  NPD tax ID

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Endoscopy Center of the South Bay LP

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1053391169

  O20050304000646

  Same enrollment

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

• David J Ayala, CRNA

  • Certified Registered Nurse Anesthetist
  • Brawley, CA
  • NPI 1497939813

  Nurse Anesthetist, Certified Registered

  NPD
• Tina L Holt, CRNA

  • Certified Registered Nurse Anesthetist
  • Harbor City, CA
  • NPI 1033310917

  Nurse Anesthetist, Certified Registered

  NPD
• Anthony J Pecora, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverside, CA
  • NPI 1740332196

  Nurse Anesthetist, Certified Registered

  NPD
• Liberty Jo Schuller, RN

  • Certified Registered Nurse Anesthetist
  • Coronado, CA
  • NPI 1679880322

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1275764334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156154",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST",
            "address_2": "SUITE 109",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054708",
            "telephone_number": "310-325-6331",
            "fax_number": "310-325-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF SOUTH BAY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of the South Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayra J. Emmons, MA, OTR/L
• Mark Enarsao
• Elena Enbom
• Catherine Enciso
• Peter Endo, DDS
• Endoscopy Center of the South Bay LP
• Energy Acupuncture
• Energy Acupuncture
• Energy Farm Inc
• Jacqueline Enfiedjian, NP

• All providers in Torrance, CA
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.