ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY – NPI #1366857377
Clinic/Center

ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY is an AHC clinic located in MURRIETA, CA. NPPES has assigned the NPI number 1366857377 to ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY on June 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY” is a dba name, the actual legal business name for this organization is SR NAKKA MD. 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 10 years ago on Jan 12, 2016. 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 ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY below.

NPI Profile for
SR NAKKA MD

NPI Number
1366857377
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SR NAKKA MD
Doing Business As (dba): ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY
Primary location
25495 MEDICAL CENTER DR
SUITE 307
MURRIETA, CA 92562-4902
Phone: (951) 304-3900 Fax: (951) 304-3901
Mailing address
949 CALHOUN PL
SUITE A
HEMET, CA 92543-4403
Phone: (951) 929-1177 Fax: (951) 765-9111
Organization Subpart
No
Authorized Official
SREENIVASA NAKKA
OWNER/PRESIDENT
Phone: (951) 929-1177
Updated
Taxonomy Code(s)

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 543686

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.