Mission Viejo Endoscopy Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MISSION VIEJO ENDOSCOPY PARTNERS, LLC

Practice address

26921 Crown Valley Pkwy Ste 110
Mission Viejo, CA 92691-6501

Phone

(949) 706-9900

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Jay McKim

Title

SVP & Cfo

Phone

(949) 680-3443

Specialties & licenses 1

Addresses

Other names 1

• South County Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hoag Memorial Hospital Presbyterian

  • Rehabilitation Hospital Unit
  • Newport Beach, CA
  • NPI 1750875670

  Member Of

  NPD member

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1376307728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-706-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-706-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VIEJO ENDOSCOPY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "949-680-3443"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Toxicology, LLC
• Mission Trauma Surgical Medical GRP
• Mission Viejo Assisted Living LLC
• Mission Viejo Dental Associates
• Mission Viejo Emergency Medical Associates
• Mission Viejo Family Medical Center
• Mission Viejo Modern Dentistry, Prof. Corp.
• Mission Viejo Office
• Mission Viejo Radiation Oncology Corp.
• Misson OB/GYN Medical Group, Inc.

• Ambulatory Surgical Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, 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 Dec 30, 2024; 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.