Organization Active NPI

Evolve Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1083467286
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EVOLVE SURGERY CENTER LLC
Practice address
5353 Balboa Blvd Ste 300
Encino, CA 91316-2863
Phone
(818) 922-8565
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eddie Fox
Title
Cfo
Phone
(818) 922-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5353 Balboa Blvd Ste 300
Encino, CA 91316-2863

Mailing address

5353 Balboa Blvd Ste 300
Encino, CA 91316-2863
Phone (818) 922-8565

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304318Evolve Surgery Center5353 Balboa Blvd Ste 300, Encino, CA 91316Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1083467286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162863",
            "telephone_number": "818-922-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162863",
            "telephone_number": "818-922-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-922-8565"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.