Organization Active NPI

Corpus Christi Endoscopy Center LLP

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1831238773
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CORPUS CHRISTI ENDOSCOPY CENTER LLP
Practice address
6421 Saratoga Blvd
BLDG 105
Corpus Christi, TX 78414-3479
Phone
(361) 985-9300
Fax
(361) 985-9301
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mr. Alan Rodriguez, RN
Title
Ceo
Phone
(361) 737-0880

Specialties & licenses 1

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

Addresses

Primary practice location

6421 Saratoga Blvd
BLDG 105
Corpus Christi, TX 78414-3479

Mailing address

6421 Saratoga Blvd BLDG 105
Corpus Christi, TX 78414-3480
Phone (361) 737-0880

Other names 1

  • Corpus Christi Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000211 TX Part B Supplier - Ambulatory Surgical Center 2961580345 Practice locations: Corpus Christi, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Corpus Christi Endoscopy Center LLPCCN 45C0001470
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
45D1072661Corpus Christi Endoscopy Center LLP6421 Saratoga Blvd BLDG 105, Corpus Christi, TX 78414Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1831238773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD BLDG 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143480",
            "telephone_number": "361-737-0880",
            "fax_number": "361-985-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD",
            "address_2": "BLDG 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143479",
            "telephone_number": "361-985-9300",
            "fax_number": "361-985-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI ENDOSCOPY CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-737-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.