Endoscopy Center of South Sacramento, LLC
NPI 1487136412 · Ambulatory Surgical Clinic/Center · Sacramento, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Endoscopy Center of South Sacramento, LLC is a Ambulatory Surgical Clinic/Center organization in Sacramento, CA (NPI 1487136412).
Provider details
- NPI number
- 1487136412
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Authorized Official / Officer(480) 567-0259
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
650 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 178 | $462 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 157 | $603 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 157 | $800 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 72 | $627 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 33 | $617 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Endoscopy Center of South Sacramento
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Endoscopy Center of South Sacramento, LLC's NPI number?
- Endoscopy Center of South Sacramento, LLC's National Provider Identifier (NPI) is 1487136412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Endoscopy Center of South Sacramento, LLC?
- Endoscopy Center of South Sacramento, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Endoscopy Center of South Sacramento, LLC located?
- Endoscopy Center of South Sacramento, LLC's practice location on file with NPPES is 8120 Timberlake Way Ste 103, Sacramento, CA 95823-5413.
- What is Endoscopy Center of South Sacramento, LLC's phone number?
- The practice phone number listed in the NPPES registry for Endoscopy Center of South Sacramento, LLC is (916) 681-2350.
- Does Endoscopy Center of South Sacramento, LLC accept Medicare?
- Endoscopy Center of South Sacramento, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Endoscopy Center of South Sacramento, LLC?
- The authorized official listed on Endoscopy Center of South Sacramento, LLC's NPPES record is Eric Boon, Authorized Official / Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Endoscopy Center of South Sacramento, LLC's NPI active?
- Yes — Endoscopy Center of South Sacramento, LLC's NPI (1487136412) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.