Pasadena Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

930000974 Issued in CA

Legal business name

PASADENA ENDOSCOPY CENTER INC

Practice address

55 W Valley St
Pasadena, CA 91105-2015

Phone

(626) 793-9900

Fax

(626) 793-9944

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Nickowitz, MDNPI 1083686893

Title

President/Medical Director

Phone

(626) 793-9900

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pasadena Endoscopy Center IncCCN 05C0001537

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 2

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

• Richard Emery Nickowitz, MD

  • Gastroenterology Physician
  • Pasadena, CA
  • NPI 1083686893
  NPD Authorized official
• Sassan Soltani, M.D.

  • Gastroenterology Physician
  • Pasadena, CA
  • NPI 1649244104
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1336247642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W VALLEY ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052015",
            "telephone_number": "626-793-9900",
            "fax_number": "626-793-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W VALLEY ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052015",
            "telephone_number": "626-793-9900",
            "fax_number": "626-793-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "NICKOWITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-793-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "930000974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "490005486",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01537F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pasadena Cyto-Pathology Laboratory, Inc
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• Pasadena Ear and Hearing, Inc.
• Pasadena Endocrinology, a Medical Corporation
• Pasadena Eye Medical Group
• Pasadena Eye Medical Group
• Pasadena Family Medicine Inc
• Pasadena Family Medicine Inc.
• Pasadena Gastroenterology Medical Group Inc

• Endoscopy Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.