NPIMap

Organization Active NPI

Novato Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Novato, CA
National Provider Identifier
1730192014
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
110000505 Issued in CA
Legal business name
NOVATO ENDOSCOPY CENTER LLC
Practice address
7595 Redwood Blvd
Suite 106
Novato, CA 94945
Phone
(415) 892-3414
Fax
(415) 892-3499
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Samuel N Marcus, MD PH D
Title
Co-Founder
Phone
(650) 496-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 110000505 CA Primary

Addresses

Primary practice location

7595 Redwood Blvd
Suite 106
Novato, CA 94945

Mailing address

PO Box 39000
Dept 33691-02
San Francisco, CA 94139
Phone (650) 493-7729

National Provider Directory

National Provider Directory

Locations

7595 Redwood Blvd
Ste 106
Novato, CA 94945
Phone (415) 892-3414

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1730192014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39000",
            "address_2": "DEPT 33691-02",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94139",
            "telephone_number": "650-493-7729",
            "fax_number": "650-493-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 REDWOOD BLVD",
            "address_2": "SUITE 106",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-892-3414",
            "fax_number": "415-892-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVATO ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "650-496-4141",
        "authorized_official_credential": "MD PH D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "110000505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.