Folsom Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FOLSOM ENDOSCOPY CENTER LLC

Doing business as

Folsom Sierra Endoscopy Center

Practice address

1671 Creekside Dr Ste 100
Folsom, CA 95630-3890

Phone

(916) 983-7475

NPI assigned

Mar 26, 2018

Last updated

Sep 15, 2021By 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

Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Folsom Sierra Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Folsom Sierra Endoscopy CenterCCN 05C0001548

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

Member of 2

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

• Gastroenterology Medical Clinic

  • Specialist
  • Folsom, CA
  • NPI 1578741401

  Member Of

  NPD member
• Regents of the University of California

  dba UC Davis Health at Home - Home Infusion

  • Home Infusion Therapy Pharmacy
  • Sacramento, CA
  • NPI 1396498580

  Member Of

  NPD member

Member organizations 1

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

• Folsom Anesthesia LP

  • Certified Registered Nurse Anesthetist
  • Folsom, CA
  • NPI 1043700941

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1538664339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-263-4011",
            "fax_number": "615-234-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303890",
            "telephone_number": "916-983-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538664339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Folsom Sierra Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Folsom Chiropractic LLC (Folsom Chiropractic)
• Folsom City MD (Sac City MD)
• Folsom Countryhouse Op Co LLLP (CountryHouse Folsom)
• Folsom Dental Group
• Folsom Dermatology
• Folsom Family and Sports Medical Group Inc.
• Folsom in-Patient Medical Group
• Folsom Lake Primary Care PC
• Folsom Medical Practice Inc
• Folsom Medical Supply LLC

• Ambulatory Surgical Clinic/Center in Folsom, CA
• Providers in Folsom, 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 Sep 15, 2021; 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.