Southland Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

240000545 Issued in CA

Legal business name

SOUTHLAND ENDOSCOPY CENTER

Doing business as

Southland Endoscopy Center

Practice address

949 Calhoun PL
Suite B
Hemet, CA 92543-4403

Phone

(951) 929-1177

Fax

(951) 765-9111

NPI assigned

Feb 7, 2007

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sreenivasa R NakkaNPI 1184666547

Title

M.D, F.a.C.P, F.a.C.G

Phone

(951) 929-1177

Specialties & licenses 1

Addresses

Other names 1

• Southland Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Southland Endoscopy CenterCCN 05C0001288

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sreenivasa Rao Nakka, M.D,F.A.C.P,F.A.C.G

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1184666547
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1982744231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-929-1177",
            "fax_number": "951-765-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-929-1177",
            "fax_number": "951-765-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "NAKKA",
        "authorized_official_first_name": "SREENIVASA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D, F.A.C.P, F.A.C.G",
        "authorized_official_telephone_number": "951-929-1177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "240000545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Sousa, P.N.P.
• Southern California Emergency Medicine (Hemet Urgent Care Center)
• Southern California Permanente Medical Group
• Southern Coast Psych Medical Associates PC
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Hematology Oncology Medical Group, Inc
• Special Care Transportation Inc
• Jessica Spence
• Cambria Speyer
• Spirit and Truth Counseling Center

• Ambulatory Surgical Clinic/Center in Hemet, CA
• Providers in Hemet, 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 Sep 12, 2011; 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.