Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Endoscopy, Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1598815110

Executive Endoscopy, Inc is an Ambulatory Surgical Clinic/Center in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Forest Ave Ste 109
San Jose, CA 95128
Phone: (408) 297-2314
Fax: (408) 297-2414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 070000639 (CA)
Endoscopy Clinic/Center Taxonomy 261QE0800X (CA)

Record details

NPI number1598815110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felix Tam — Clinic Director/Secretary Of Atf Co · (408) 297-2314
Other names Endoscopy Center Of San Jose
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 15, 2008
Mailing address2100 Forest Ave, Suite 109, San Jose, CA 95128

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