ENDOSCOPY CENTER OF SAN JOSE
NPI 1598815110
Clinic/Center - Ambulatory Surgical in San Jose, CA
NPI Status: Active since January 12, 2007
Contact Information
2100 FOREST AVE
SUITE 109
SAN JOSE, CA
ZIP 95128
Phone: (408) 297-2314
Fax: (408) 297-2414
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1039487
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-13-2027
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 1598815110 assigned on January 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 070000639 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Endoscopy Center Of San Jose. The authorized official of this NPI record is Dr. Felix K. Tam M.d. (Clinic Director/secretary Of Atf Co)
- NPI
- 1598815110
- Provider Legal Name
- EXECUTIVE ENDOSCOPY, INC.
- Other Organization Name
- ENDOSCOPY CENTER OF SAN JOSE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2100 FOREST AVE SUITE 109 SAN JOSE, CA 95128
- Location Phone
- (408) 297-2314
- Location Fax
- (408) 297-2414
- Mailing Address
- 2100 FOREST AVE SUITE 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
- 01-12-2007
- Last Update Date
- 08-15-2008
- Code Navigator
Location Map
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 No.
- 070000639
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QE0800X | Ambulatory Health Care Facilities | Clinic/Center | (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.
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 |
|---|---|---|---|
| SUR01553F | MEDICAID (05) | CA | |
| ZZZ23461Z | MEDICARE PIN (08) | CA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Removal of large bowel tissue using a flexible endoscope
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 47 times for 46 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 65 times for 63 patientsThis procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.
This service was performed 24 times for 22 patientsThis procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
This service was performed 59 times for 53 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 70 times for 70 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1039487
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 14, 2025
- Certificate Expiration Date
- April 13, 2027
- Laboratory Director
- DAVID CHUI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Endoscopy Center Of San Jose to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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. | |||||||||
| 1 | 5 | 9 | 8 | 8 | 1 | 5 | 1 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 16 | 1 | 10 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 6 + 1 + 1 + 0 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1598815110 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1487644779 | DR. STEVEN A NEMIROV Individual | Internal Medicine | 2100 FOREST AVE SUITE 108 SAN JOSE, CA 95128 (408) 297-7909 |
| 1609822469 | ALPHONSUS LAPMAN CHEUNG MD Individual | Anesthesiology | 2100 FOREST AVE SAN JOSE, CA 95128 (408) 297-3432 |
| 1548206113 | DR. DAN-ANH THI NGUYEN M.D. Individual | Obstetrics & Gynecology | 2100 FOREST AVE STE 105 SAN JOSE, CA 95128 (408) 993-8071 |
| 1518982057 | DR. KHOA D NGUYEN M.D. Individual | Ophthalmology | 2100 FOREST AVE SUITE 105 SAN JOSE, CA 95128 (408) 993-8071 |
| 1710909643 | CHARLES 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 Medicine | 2100 FOREST AVE SUITE 104 SAN JOSE, CA 95128 (408) 292-3991 |
| 1548363112 | DR. HAROLD ALLEN RODGERS MD Individual | Dermatology | 2100 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 |
| 1942373998 | DR. 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 | Ophthalmology | 2100 FOREST AVE SUITE 110 SAN JOSE, CA 95128 (408) 971-1949 |
| 1194712109 | EXECUTIVE ENDOSCOPY, INC Organization | Clinic/Center (Ambulatory Surgical) | 2100 FOREST AVE 109 SAN JOSE, CA 95128 (408) 297-2314 |
| 1871712174 | FOREST AVENUE MEDICAL GROUP Organization | Internal Medicine | 2100 FOREST AVE SUITE 104 SAN JOSE, CA 95128 (408) 292-2552 |
| 1184146714 | MONA MUKESH JOSHI OD Individual | Optometrist | 2100 FOREST AVE STE 110 SAN JOSE, CA 95128 (408) 971-1949 |
| 1174655633 | DR. MICHAEL FRANCIS MARTIN M.D. Individual | Internal Medicine | 2100 FOREST AVE SUITE 104 SAN JOSE, CA 95128 (408) 292-5337 |
| 1801925151 | DR. THOMAS JAMES MCGUIRE M.D. Individual | Internal Medicine | 2100 FOREST AVE SUITE 104 SAN JOSE, CA 95128 (408) 292-2552 |
| 1710764816 | COUNTY OF SANTA CLARA Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2100 FOREST AVE SAN JOSE, CA 95128 (408) 885-5000 |
| 1073265914 | COUNTY OF SANTA CLARA Organization | Clinic/Center | 2100 FOREST AVE SAN JOSE, CA 95128 (408) 454-2626 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598815110, enumerated in the NPI registry as an "organization" on January 12, 2007
The provider is located at 2100 Forest Ave Suite 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.
The most common procedures or services performed by this practitioner are: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Removal of large bowel tissue using a flexible endoscope, Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.
The provider's CLIA number is 05D1039487 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 12, 2007. 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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