Organization Active NPI

The Endoscopy Center of Santa Maria LLC

  • Ambulatory Surgical Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1730124124
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
050000572 Issued in CA
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

Updated by the provider on Apr 8, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SUR01595FMedicaidCA

Other names 2

  • Santa Maria Digestive Diagnostic Center Doing business as
  • The Endoscopy Center of Santa Maria, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 05C0001595
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
05D1009990Santa Maria Digestive Diagnostic Ctr1315 S Miller Suite 101 Box 7, Santa Maria, CA 93454Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.