Advanced Endoscopy Center Inc
Organization Active NPI Endoscopy Clinic/Center · Merced, CA
NPI 1700816733 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1700816733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endoscopy Clinic/Center 261QE0800X
- License
- 040000497 (CA)
- Legal business name
- ADVANCED ENDOSCOPY CENTER INC
- Practice address
- 386 W Olive Ave
Suite B
Merced, CA 95348-3137 - Phone
- (209) 724-9900
- Fax
- (209) 724-9901
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Aruna Munnangi
- Title
- Administrator
- Phone
- (209) 724-9900
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Advanced Endoscopy Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0966657 | Advanced Endoscopy Center Inc | Certificate of waiver | Oct 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080416000293 | CA | Part B Supplier - Ambulatory Surgical Center | 6507944519 | Practice locations: Merced, CA |
National Provider Directory
Locations
386 W Olive Ave
Ste B
Merced, CA 95348
Phone (209) 724-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | 040000497 | CA | Yes |
Addresses
Primary practice location
386 W Olive Ave
Suite B
Merced, CA 95348-3137
Mailing address
386 W Olive Ave
Suite B
Merced, CA 95348-3137
Phone (209) 724-9900
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All providers in Merced, CA · Endoscopy 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 Jul 20, 2015. 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.