MEDICARE: THE ENDOSCOPY CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1528462819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ENDOSCOPY CENTER, INC.

Provider Business Mailing Address
First Line	:	870 SHASTA ST
Second Line	:	SUITE 100
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4117
Country	:	US
Telephone Number	:	530-671-3671
Fax Number	:	530-671-3797

Provider Business Practice Location Address
First Line	:	870 SHASTA ST
Second Line	:	SUITE 100
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4117
Country	:	US
Telephone Number	:	530-671-3671
Fax Number	:	530-671-3797

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBBIE NEILSON
Credential	:
Telephone Number	:	530-671-3671

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	10/01/2024

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