Samaritan Endoscopy Center, Inc.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

550000093 Issued in CA

Legal business name

SAMARITAN ENDOSCOPY CENTER, INC.

Practice address

15195 National Avenue
Suite 204
Los Gatos, CA 95032-2631

Phone

(408) 356-0988

Fax

(408) 356-0978

NPI assigned

Sep 5, 2006

Last updated

Mar 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bassam G Saffouri, MD

Title

President

Phone

(408) 356-0988

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Samaritan Endoscopy CenterCCN 05C0001744

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C Kushlan, M.D.

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1538273073
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1447352737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVENUE",
            "address_2": "SUITE 204",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-356-0988",
            "fax_number": "408-356-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVENUE",
            "address_2": "SUITE 204",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-356-0988",
            "fax_number": "408-356-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "SAFFOURI",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-356-0988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "550000093",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "550000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A51744",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "550000093",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "54220ZZH4328Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Leland Salinger, M.D.
• Sara Salman
• Deborah Rhae Salom, DO
• Diane Salvadore, MS
• Sam Infantino D.D.S. Inc.
• Sara Joanne Sameshima
• San Jose Cardiac Surgery GRP
• San Jose Ear and Sinus Medical Center Inc
• San Jose Integrative Wellness Center Inc
• Kristel San Miguel

• Endoscopy Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, 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 10, 2023; 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.