Active NPI
The Endoscopy Center of Santa Maria LLC
- Ambulatory Surgical Clinic/Center
- Santa Maria, CA
National Provider Identifier
1730124124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 050000572
- Legal business name
- THE ENDOSCOPY CENTER OF SANTA MARIA LLC
- Practice address
- 1315 S Miller St
Suite 101
Santa Maria, CA 93454-6910 - Phone
- (805) 349-2945
- Fax
- (805) 349-7006
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Boon
- Title
- Market President
- Phone
- (480) 567-0269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 050000572 | CA | Primary |
Addresses
Primary practice location
1315 S Miller St
Suite 101
Santa Maria, CA 93454-6910
Mailing address
1315 S Miller St Ste 101
Santa Maria, CA 93454-6910
Phone (805) 349-2945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01595F | Medicaid | CA |
Other names 2
- Santa Maria Digestive Diagnostic Center
- The Endoscopy Center of Santa Maria, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060724000229 | CA | Part B Supplier - Ambulatory Surgical Center | 9335152081 | Practice locations: Santa Maria, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Santa Maria Digestive Diagnostic Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1009990 | Santa Maria Digestive Diagnostic Ctr | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Santa Maria, CA
- NPI 1508894486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1730124124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 S MILLER ST STE 101",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546910",
"telephone_number": "805-349-2945",
"fax_number": "805-349-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 S MILLER ST",
"address_2": "SUITE 101",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546910",
"telephone_number": "805-349-2945",
"fax_number": "805-349-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ENDOSCOPY CENTER OF SANTA MARIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MARKET PRESIDENT",
"authorized_official_telephone_number": "480-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "050000572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01595F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Maria Digestive Diagnostic Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Endoscopy Center of Santa Maria, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.