Organization Active NPI

Glendora Ca Endoscopy ASC LP

Doing business as Glendora Digestive Disease Institute

  • Ambulatory Surgical Clinic/Center
  • Glendora, CA
National Provider Identifier
1821285073
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 InstituteCCN 05C0001673
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
05D1022612Glendora Ca Endoscopy ASC LP1794 S Barranca Ave, Glendora, CA 91740Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

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.

Verify at the official NPI Registry.