Covina Endoscopy Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COVINA ENDOSCOPY CENTER, INC.

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

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ali H Sahebekhtiari, MD

Title

Medical Director

Phone

(626) 858-4600

Specialties & licenses 1

Addresses

Other names 1

• GLENDORA DIGESTIVE DISEASE INSTITUTE Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972654762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "COVINA ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAHEBEKHTIARI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-858-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDORA DIGESTIVE DISEASE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raffaele M Corbisiero Sr., MD
• Guadalipe N Corder, DDS INC
• Joshua Ignacio Cordova
• Amanda Bianca Corral
• Elizabeth Cosio
• Eva Isla Cristobal, RN, MSN,AGNP-C
• Gina M. Crome, R.D.
• Cory Cruz
• John Patrick Cullen, MFT
• John Galdino Cummings Jr., PMHNP

• Ambulatory Surgical Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.