North Bay Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH BAY ENDOSCOPY CENTER LLC

Practice address

1383 N McDowell Blvd
Petaluma, CA 94954-1187

Phone

(707) 938-9685

Fax

(707) 938-9641

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Denigris, MD

Title

Medical Director

Phone

(707) 938-9685

Specialties & licenses 1

Addresses

Other names 1

• the endosurgery center Doing business as

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1427212919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541187",
            "telephone_number": "707-938-9685",
            "fax_number": "707-938-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541187",
            "telephone_number": "707-938-9685",
            "fax_number": "707-938-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "DENIGRIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "707-938-9685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the endosurgery center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norcal Medical Supply, Inc
• North Bay Dermatology & Skin Cancer Center P C
• North Bay Dermatology Assoc
• North Bay Dermatology Associates
• North Bay Electrology
• North Bay Eye Associates, a Medical Corporation
• North Bay Foot & Ankle Center Inc
• North Bay Post Acute, LLC
• Northern California Center for Integrative Psychotherapy, PPC
• Northern California Medical Assoc

• Ambulatory Surgical Clinic/Center in Petaluma, CA
• Providers in Petaluma, 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 Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.