Temecula Ca Endoscopy ASC LP
Organization Active NPI Ambulatory Surgical Clinic/Center · Murrieta, CA
NPI 1477527398 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1477527398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 250000810 (CA)
- Legal business name
- TEMECULA CA ENDOSCOPY ASC LP
- Practice address
- 25150 Hancock Ave
Suite 208
Murrieta, CA 92562-5987 - Phone
- (951) 698-8805
- Fax
- (951) 698-8898
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Phillip A Clendenin
- Title
- President
- Phone
- (615) 665-1283
Other NPIs with the same Medicare PAC ID 1
Practitioners 42
-
Elizabeth Ann Aban, CRNA
-
Randy Eugene Ashman, CRNA
-
John Alin Bucur, RN, CRNA
-
Rosecella Chambers, CRNA
-
Glenn Alan Clark, CRNA
-
Ashley Lancer Collins, CRNA
-
Darren Joseph Couture, CRNA
-
John Dilgard, CRNA
-
Shaun David Dunston, DNP
-
April Jean Fitzpatrick, CRNA
-
Megan French, CRNA
-
Daniel Garcia Jr., CRNA
-
Melissa C Hicks, CRNA
-
April Christine King, CRNA
-
Robert C Knipper, CRNA
-
Kimberly Liss, BSN, MSN, CRNA
-
Jennifer Helen Loran, DNP
-
Nancy Lynn Koras Lucas, CRNA
-
Michael P Lynn, CRNA
-
Kimberly Anne Meraz, CRNA
-
Geoffrey Brenton Miles, CRNA
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Temecula Ca Endoscopy ASC LP Dba United Surgery Center Murrieta
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050512000397 | CA | Part B Supplier - Ambulatory Surgical Center | 4981645678 | Practice locations: Murrieta, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 250000810 | CA | Yes |
Addresses
Primary practice location
25150 Hancock Ave
Suite 208
Murrieta, CA 92562-5987
Mailing address
25150 Hancock Ave
Suite 208
Murrieta, CA 92562-5987
Phone (951) 698-8805
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0612336 | Medicaid | CA |
Other names
- Temecula Valley Endoscopy Center
NPI Registry JSON
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1477527398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25150 HANCOCK AVE",
"address_2": "SUITE 208",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625987",
"telephone_number": "951-698-8805",
"fax_number": "951-698-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25150 HANCOCK AVE",
"address_2": "SUITE 208",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625987",
"telephone_number": "951-698-8805",
"fax_number": "951-698-8898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMECULA CA ENDOSCOPY ASC LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2023-09-07",
"status": "A",
"authorized_official_last_name": "CLENDENIN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "250000810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0612336",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Temecula Valley Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Murrieta, CA
- Team Rocket
- Rachel L Tears
- Christina Teglovic
- Tejas Modi D.D.S. Inc.,
- Temecula Ca Endoscopy ASC LP
- Temecula Dietitians, Inc.
- Temecula Pain Management Center, Inc
- Temecula Surgery Anesthesia Partners, Inc
- Temecula Valley Anesthesiologists,Inc
- Temecula Valley Cardiology Medical Group, Inc.
All providers in Murrieta, CA · Ambulatory Surgical Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.