Organization Active NPI

Irvine Endoscopy Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1447608088
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
IRVINE ENDOSCOPY PARTNERS LLC
Practice address
16405 Sand Canyon Ave
Building a Suite 110
Irvine, CA 92618-3785
Phone
(801) 580-3141
NPI assigned
May 24, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Barbara H Bowen
Title
VP Operations and Development
Phone
(801) 580-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

16405 Sand Canyon Ave
Building a Suite 110
Irvine, CA 92618-3785

Mailing address

16405 Sand Canyon Ave
Building a Suite 110
Irvine, CA 92618-3785
Phone (801) 580-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160909001969 CA Part B Supplier - Ambulatory Surgical Center 8628364056 Practice locations: Irvine, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hoag Endoscopy Center IrvineCCN 05C0002147
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2120726Irvine Endoscopy Partners, LLC16405 Sand Canyon Ave Ste 110 BLDG a, Irvine, CA 92618Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Locations

16405 Sand Canyon Ave
Ste 110
Irvine, CA 92618
Phone (801) 580-3141

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1447608088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE",
            "address_2": "BUILDING A SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183785",
            "telephone_number": "801-580-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE",
            "address_2": "BUILDING A SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183785",
            "telephone_number": "801-580-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE ENDOSCOPY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP OPERATIONS AND DEVELOPMENT",
        "authorized_official_telephone_number": "801-580-3141"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.