ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC – NPI #1487136412
Clinic/Center

ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC is an AHC clinic located in SACRAMENTO, CA. NPPES has assigned the NPI number 1487136412 to ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC on September 06, 2018. 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 last updated on Dec 11, 2025. 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 ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC below.

NPI Profile for
ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC

NPI Number
1487136412
Enumeration Date

(about 8 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
ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC
Primary location
8120 TIMBERLAKE WAY STE 103
SACRAMENTO, CA 95823-5413
Phone: (916) 681-2350 Fax: (916) 681-2370
Mailing address
15305 DALLAS PKWY STE 1600
ADDISON, TX 75001-6491
Phone: (972) 763-3893 Fax: (972) 692-6745
Organization Subpart
No
Authorized Official
ERIC BOON
AUTHORIZED OFFICIAL / OFFICER
Phone: (480) 567-0259
Updated
Certification Date
Dec 11, 2025

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.

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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669