SIERRA ENDOSCOPY CENTER, LLC
NPI 1760440515
Clinic/Center - Ambulatory Surgical in Grass Valley, CA

NPI Status: Active since May 02, 2006

Contact Information

300 SIERRA COLLEGE DR
STE.105
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-0527

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0994419
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 12-12-2025

About SIERRA ENDOSCOPY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sierra Endoscopy Center, Llc, a provider established in Grass Valley, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760440515 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 230000350 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric Boon (Officer/authorized Official)

NPI
1760440515
Provider Name
SIERRA ENDOSCOPY CENTER, LLC
Entity Type
Organization
Location Address
300 SIERRA COLLEGE DR STE.105 GRASS VALLEY, CA 95945
Location Phone
(530) 273-0527
Mailing Address
300 SIERRA COLLEGE DR STE.105 GRASS VALLEY, CA 95945
Mailing Phone
(530) 273-0527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2006
Last Update Date
01-11-2025
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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 No.
230000350
License State
CA

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

ERIC BOON

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(480) 567-0269

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.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 116 times for 102 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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 725 times for 711 patients

Biopsy of large bowel using a flexible endoscope

A 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 237 times for 235 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 17 times for 16 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 411 times for 411 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 103 times for 103 patients

Destruction of polyp or growth of large bowel using a flexible endoscope

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

This service was performed 27 times for 27 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 19 times for 19 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 66 times for 66 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 17 times for 17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This 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 628 times for 628 patients

CLIA 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
05D0994419
Facility Type
Other
Certificate Effective Date
December 13, 2023
Certificate Expiration Date
December 12, 2025
Laboratory Director
ASLAM C. GODIL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sierra Endoscopy Center, Llc 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.

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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.
1760440515
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712084052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 4 + 0 + 5 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1760440515 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396702874 ANDREW C CHANG M.D.
Individual
Specialist300 SIERRA COLLEGE DR STE.105
GRASS VALLEY, CA 95945
(530) 273-3377
1164524815 KEVIN B HILL DO
Individual
Internal Medicine (Gastroenterology)300 SIERRA COLLEGE DR STE105
GRASS VALLEY, CA 95945
(530) 273-3377
1548345069ALPINE ALLERGY AND ASTHMA ASSOCIATES INC.
Organization
Allergy & Immunology300 SIERRA COLLEGE DR STE 235
GRASS VALLEY, CA 95945
(530) 273-6530
1831274638DR. DOUGLAS JAMES VALENTINE DDS
Individual
Dentist (Oral and Maxillofacial Surgery)300 SIERRA COLLEGE DR #120
GRASS VALLEY, CA 95945
(530) 274-4470
1407928641SIERRA NEVADA GASTROENTEROLOGY MEDICAL ASSOCIATES, INC.
Organization
Specialist300 SIERRA COLLEGE DR STE.105
GRASS VALLEY, CA 95945
(530) 273-3377
1487779302DR. DARRELL TAKEOKA DDS
Individual
Dentist300 SIERRA COLLEGE DR #110
GRASS VALLEY, CA 95945
(530) 272-6312
1740477587NEVA MONIGATTI-LAKE, M.D.
Organization
Family Medicine300 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945
(530) 273-4376
1124276142 CINDY MARIE MCMAHON PA-C
Individual
Physician Assistant (Medical)300 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945
(530) 273-4376
1568716843MS. CAMILLE WONIYA KOLODJAY DPT
Individual
Physical Therapist300 SIERRA COLLEGE DR SUITE 165
GRASS VALLEY, CA 95945
(530) 274-2320
1538506944 MARY DEBRA GUTIERREZ MPT
Individual
Physical Therapist300 SIERRA COLLEGE DR 165
GRASS VALLEY, CA 95945
(530) 274-2320
1023441821 JENNIFER ANNE HAMMER PT
Individual
Physical Therapist300 SIERRA COLLEGE DR SUITE 165
GRASS VALLEY, CA 95945
(530) 274-2320
1265487383MRS. NEVA MARIE MONIGATTI LAKE MD
Individual
Family Medicine300 SIERRA COLLEGE DR STE 170
GRASS VALLEY, CA 95945
(530) 273-4376
1770869711SPRING HILL PHYSICAL THERAPY PC
Organization
Physical Therapist300 SIERRA COLLEGE DR SUITE 165
GRASS VALLEY, CA 95945
(530) 274-2320
1255737755 MELANIE CONLEY DPT
Individual
Physical Therapist300 SIERRA COLLEGE DR STE. 165
GRASS VALLEY, CA 95945
(530) 274-2320
1235215302 MICHAEL JUDE MCCORMICK M.D.
Individual
Allergy & Immunology (Allergy)300 SIERRA COLLEGE DR SUITE 235
GRASS VALLEY, CA 95945
(530) 273-6530
1073085478 HUGH M TALMAN PTA
Individual
Physical Therapist300 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945
(530) 274-2320
1730239872DONALD V JONES MD PC
Organization
Surgery (Vascular Surgery)300 SIERRA COLLEGE DR SUITE # 240
GRASS VALLEY, CA 95945
(530) 272-9963
1245908177 JULIE LYNN KANE PTA
Individual
Physical Therapy Assistant300 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945
(530) 274-2320
1598723348 ROY L FOLIENTE M.D.
Individual
Internal Medicine (Gastroenterology)300 SIERRA COLLEGE DR STE.105
GRASS VALLEY, CA 95945
(530) 273-3377
1942268792 FOUZIA GODIL M.D.
Individual
Internal Medicine300 SIERRA COLLEGE DR STE.105
GRASS VALLEY, CA 95945
(530) 273-3377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760440515, enumerated in the NPI registry as an "organization" on May 02, 2006

The provider is located at 300 Sierra College Dr Ste.105 Grass Valley, Ca 95945 and the phone number is (530) 273-0527

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

The most common procedures or services performed by this practitioner are: Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm, Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Biopsy of lower large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Destruction of polyp or growth of large bowel using a flexible endoscope, Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Diagnostic exam of large bowel using a flexible endoscope, Dilation of esophagus and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.

The provider's CLIA number is 05D0994419 for a "other" 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 May 02, 2006. 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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