Active NPI
Glendora Ca Endoscopy ASC LP
Doing business as Glendora Digestive Disease Institute
- Ambulatory Surgical Clinic/Center
- Glendora, CA
National Provider Identifier
1821285073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GLENDORA CA ENDOSCOPY ASC LP
- Doing business as
- Glendora Digestive Disease Institute
- Practice address
- 1794 S Barranca Ave
Glendora, CA 91740-5421 - Phone
- (626) 858-4600
- Fax
- (626) 858-4601
- NPI assigned
- Oct 2, 2007
- Last updated
- Aug 26, 2025
- 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. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1794 S Barranca Ave
Glendora, CA 91740-5421
Mailing address
1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 263-4011
Other names 1
- Glendora Digestive Disease Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081217000569 | CA | Part B Supplier - Ambulatory Surgical Center | 8224190749 | Practice locations: Glendora, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Glendora Digestive Disease Institute
- 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 |
|---|---|---|---|
| 05D1022612 | Glendora Ca Endoscopy ASC LP | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Glendora, CA
- NPI 1750748331
Member Of
Locations
1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1821285073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156153",
"telephone_number": "615-263-4011",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 S BARRANCA AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405421",
"telephone_number": "626-858-4600",
"fax_number": "626-858-4601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENDORA CA ENDOSCOPY ASC LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glendora Digestive Disease Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Glendora Digestive Disease Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendora, CA
- Glacier Home Health Care, Inc.
- Glacier Hospice and Palliative Care, Inc.
- Erica Jane Gladney
- Glen Park at Glendora
- Glendora Anesthesia Associates LP
- Glendora Chiropractic Center
- Glendora Dermatologic and Cosmetic Surgery Center
- Glendora Family Counseling, a Professional Corporation (Glendora Counseling)
- Glendora Family Therapy, Inc
- Glendora Grand, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.