EAST BAY ENDOSURGERY CENTER – NPI #1053496240
Clinic/Center
EAST BAY ENDOSURGERY CENTER is an AHC clinic located in OAKLAND, CA. NPPES has assigned the NPI number 1053496240 to EAST BAY ENDOSURGERY CENTER on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST BAY ENDOSURGERY CENTER” is a dba name, the actual legal business name for this organization is OAKLAND CA ENDOSCOPY ASC LP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 4 years ago on Jun 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST BAY ENDOSURGERY CENTER below.
NPI Profile for
OAKLAND CA ENDOSCOPY ASC LP
(more than 19 years ago)
SUITE 135
OAKLAND, CA 94612 Phone: (510) 893-1600 Fax:
SUITE 312
OAKLAND, CA 94609-3117 Phone: (510) 893-1600 Fax:
PRESIDENT
Phone: (615) 665-1283
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for EAST BAY ENDOSURGERY CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | 1053496240 | |
| MEDICAID | CA | SUR01641G |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
CA | 140000674 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.