Organization Active NPI

Valley Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1124411848
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY SURGERY CENTER, INC.
Practice address
16917 Enadia Way
Van Nuys, CA 91406-3602
Phone
(818) 401-1010
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Ihab AzizNPI 1700873593
Title
President
Phone
(818) 401-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

16917 Enadia Way
Van Nuys, CA 91406-3602

Mailing address

16917 Enadia Way
Van Nuys, CA 91406-3602
Phone (818) 401-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520001308 CA Part B Supplier - Ambulatory Surgical Center 6800116583 Practice locations: Van Nuys, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Valley Surgery CenterCCN 05C0002128
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2094875Valley Surgery Center Inc16917 Enadia Way, Van Nuys, CA 91406Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1124411848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16917 ENADIA WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063602",
            "telephone_number": "818-401-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16917 ENADIA WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063602",
            "telephone_number": "818-401-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-401-1010"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.