Organization Active NPI

Fresno Ca Endoscopy ASC, LP

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1508869645
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
040000525 Issued in CA
Legal business name
FRESNO CA ENDOSCOPY ASC, LP
Practice address
7055 N Fresno St
Suite 100
Fresno, CA 93720-2957
Phone
(559) 440-9100
Fax
(559) 448-8362
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Mr. Jeffrey Snodgrass
Title
President
Phone
(615) 665-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 040000525 CA Primary

Addresses

Primary practice location

7055 N Fresno St
Suite 100
Fresno, CA 93720-2957

Mailing address

1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 263-4011

Other identifiers 3

IdentifierTypeStateIssuer
SUR01536FMedicaidCA
AS1536OtherCABLUE CROSS
ZZZH1020ZOtherCABLUE SHIELD

Other names 1

  • CENTRAL CALIFORNIA ENDOSCOPY CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000729 CA Part B Supplier - Ambulatory Surgical Center 8325084163 Practice locations: Fresno, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Fresno Ca Endoscopy ASC LPCCN 05C0001536
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
05D0998718Central California Endoscopy Center7055 N Fresno St Ste-100, Fresno, CA 93720Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7055 N Fresno St
Ste 210
Fresno, CA 93720

6143 N Fresno St
#107
Fresno, CA 93710
Phone (559) 440-9100

7055 N Fresno St
Ste 100
Fresno, CA 93720
Phone (559) 440-9100

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1508869645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-263-4011",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N FRESNO ST",
            "address_2": "SUITE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202957",
            "telephone_number": "559-440-9100",
            "fax_number": "559-448-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO CA ENDOSCOPY ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "040000525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01536F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AS1536",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH1020Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL CALIFORNIA ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL CALIFORNIA ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.