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Executive Endoscopy, Inc

Ambulatory Surgical Clinic/Center in San Jose, CA · enumerated 2005 · authorized official Maribel Rivera, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194712109

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Registry record

Entity type Organization (Type 2)
Legal business name Executive Endoscopy, Inc
Other name <Unavail>
Practice address 2100 Forest Ave, 109, San Jose, CA, 95128
Phone (408) 297-2314
Fax (408) 297-2414
Enumeration date Oct 4, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Maribel Rivera
Title Office Manager
Phone (408) 297-2314

Other identifiers

Identifier Type State Issuer
SUR01553F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Executive Endoscopy, Inc?
Executive Endoscopy, Inc is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.