Active NPI
United Medical Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Lancaster, CA
National Provider Identifier
1790885895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 5500000201
- Legal business name
- UNITED MEDICAL ENDOSCOPY CENTER
- Practice address
- 1753 A West Avenue J
Lancaster, CA 93534 - Phone
- (661) 206-0555
- Fax
- (661) 206-0558
- NPI assigned
- Sep 25, 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
- Mr. Udaya Desilva, MD
- Title
- Medical Director
- Phone
- (661) 206-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 5500000201 | CA | Primary |
Addresses
Primary practice location
1753 A West Avenue J
Lancaster, CA 93534
Mailing address
1753 A West Avenue J
Lancaster, CA 93534
Phone (661) 206-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01730F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1753 W Avenue J
Lancaster, CA 93534
Phone (661) 945-7853
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Lancaster, CA
- NPI 1720006992
-
- Gastroenterology Physician
- Lancaster, CA
- NPI 1760778922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790885895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 A WEST AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-206-0555",
"fax_number": "661-206-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 A WEST AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-206-0555",
"fax_number": "661-206-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MEDICAL ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DESILVA",
"authorized_official_first_name": "UDAYA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "661-206-0555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "5500000201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01730F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.