Organization Active NPI

Greater East Bay Endoscopy Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Hayward, CA
National Provider Identifier
1821195025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GREATER EAST BAY ENDOSCOPY CENTER, INC
Doing business as
Greater Bay Endoscopy Center
Practice address
22455 Maple CT
Suite 150
Hayward, CA 94541-4020
Phone
(510) 538-9900
Fax
(510) 538-9911
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Audrey Marie Demars
Title
Administrator
Phone
(510) 538-9900

Specialties & licenses 1

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

Addresses

Primary practice location

22455 Maple CT
Suite 150
Hayward, CA 94541-4020

Mailing address

22455 Maple CT
Suite 150
Hayward, CA 94541-4020
Phone (510) 538-9900

Other names 1

  • Greater Bay Endoscopy Center Doing business as

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821195025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22455 MAPLE CT",
            "address_2": "SUITE 150",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414020",
            "telephone_number": "510-538-9900",
            "fax_number": "510-538-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22455 MAPLE CT",
            "address_2": "SUITE 150",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414020",
            "telephone_number": "510-538-9900",
            "fax_number": "510-538-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER EAST BAY ENDOSCOPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-538-9900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Bay Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, 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.

Verify at the official NPI Registry.