STOCKTON ENDOSCOPY CENTER LLC – NPI #1386657666
Clinic/Center

STOCKTON ENDOSCOPY CENTER LLC is an AHC clinic located in STOCKTON, CA. NPPES has assigned the NPI number 1386657666 to STOCKTON ENDOSCOPY CENTER LLC on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 STOCKTON ENDOSCOPY CENTER LLC below.

NPI Profile for
STOCKTON ENDOSCOPY CENTER LLC

NPI Number
1386657666
Enumeration Date

(about 20 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
STOCKTON ENDOSCOPY CENTER LLC
Primary location
415 E HARDING WAY
SUITE E
STOCKTON, CA 95204
Phone: (209) 942-1179 Fax: (209) 942-2200
Mailing address
PO BOX 39000
DEPT 33691 09
SAN FRANCISCO, CA 94139
Phone: (650) 493-7729 Fax: (650) 493-7959
Organization Subpart
No
Authorized Official
SAMUEL MARCUS
CO FOUNDER
Phone: (650) 496-4141
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 30000792

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.