ENDOSCOPY CENTER OF SAN JOSE
NPI 1194712109
Clinic/Center - Ambulatory Surgical in San Jose, CA

NPI Status: Active since October 04, 2005

Contact Information

2100 FOREST AVE
109
SAN JOSE, CA
ZIP 95128
Phone: (408) 297-2314
Fax: (408) 297-2414

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About ENDOSCOPY CENTER OF SAN JOSE

This page provides the complete NPI Profile along with additional information for Endoscopy Center Of San Jose, a provider established in San Jose, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1194712109 assigned on October 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Endoscopy Center Of San Jose. The authorized official of this NPI record is Mrs. Maribel Rivera (Office Manager)

NPI
1194712109
Provider Legal Name
EXECUTIVE ENDOSCOPY, INC
Other Organization Name
ENDOSCOPY CENTER OF SAN JOSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2100 FOREST AVE 109 SAN JOSE, CA 95128
Location Phone
(408) 297-2314
Location Fax
(408) 297-2414
Mailing Address
2100 FOREST AVE 109 SAN JOSE, CA 95128
Mailing Phone
(408) 297-2314
Mailing Fax
(408) 297-2414
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIBEL RIVERA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(408) 297-2314

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
SUR01553FMEDICAID (05)CA 

Reviews for ENDOSCOPY CENTER OF SAN JOSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194712109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184141410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 1 + 4 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1194712109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487644779DR. STEVEN A NEMIROV
Individual
Internal Medicine2100 FOREST AVE SUITE 108
SAN JOSE, CA 95128
(408) 297-7909
1609822469 ALPHONSUS LAPMAN CHEUNG MD
Individual
Anesthesiology2100 FOREST AVE
SAN JOSE, CA 95128
(408) 297-3432
1548206113DR. DAN-ANH THI NGUYEN M.D.
Individual
Obstetrics & Gynecology2100 FOREST AVE STE 105
SAN JOSE, CA 95128
(408) 993-8071
1518982057DR. KHOA D NGUYEN M.D.
Individual
Ophthalmology2100 FOREST AVE SUITE 105
SAN JOSE, CA 95128
(408) 993-8071
1710909643CHARLES F. TUFFLI JR M.D. A MEDICAL CORPORATION
Organization
Internal Medicine (Interventional Cardiology)2100 FOREST AVE SUITE 101
SAN JOSE, CA 95128
(408) 286-6900
1023122959 DAVID H EBY JR. MD
Individual
Internal Medicine2100 FOREST AVE SUITE 104
SAN JOSE, CA 95128
(408) 292-3991
1548363112DR. HAROLD ALLEN RODGERS MD
Individual
Dermatology2100 FOREST AVE #103
SAN JOSE, CA 95128
(408) 298-5533
1700955143 MICHAEL TANDICK CHARNEY M.D.
Individual
Internal Medicine (Infectious Disease)2100 FOREST AVE #106
SAN JOSE, CA 95128
(408) 286-6470
1598815110EXECUTIVE ENDOSCOPY, INC.
Organization
Clinic/Center (Ambulatory Surgical)2100 FOREST AVE SUITE 109
SAN JOSE, CA 95128
(408) 297-2314
1942373998DR. DAVID W CHUI MD
Individual
Internal Medicine (Gastroenterology)2100 FOREST AVE 102
SAN JOSE, CA 95128
(408) 297-5740
1639265770 ROBERT EDMOND NEGER MD
Individual
Ophthalmology2100 FOREST AVE SUITE 110
SAN JOSE, CA 95128
(408) 971-1949
1871712174FOREST AVENUE MEDICAL GROUP
Organization
Internal Medicine2100 FOREST AVE SUITE 104
SAN JOSE, CA 95128
(408) 292-2552
1184146714 MONA MUKESH JOSHI OD
Individual
Optometrist2100 FOREST AVE STE 110
SAN JOSE, CA 95128
(408) 971-1949
1174655633DR. MICHAEL FRANCIS MARTIN M.D.
Individual
Internal Medicine2100 FOREST AVE SUITE 104
SAN JOSE, CA 95128
(408) 292-5337
1801925151DR. THOMAS JAMES MCGUIRE M.D.
Individual
Internal Medicine2100 FOREST AVE SUITE 104
SAN JOSE, CA 95128
(408) 292-2552
1710764816COUNTY OF SANTA CLARA
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2100 FOREST AVE
SAN JOSE, CA 95128
(408) 885-5000
1073265914COUNTY OF SANTA CLARA
Organization
Clinic/Center2100 FOREST AVE
SAN JOSE, CA 95128
(408) 454-2626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194712109, enumerated in the NPI registry as an "organization" on October 04, 2005

The provider is located at 2100 Forest Ave 109 San Jose, Ca 95128 and the phone number is (408) 297-2314

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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