Organization Active NPI

Nova Surgical Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1265831606
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A42285 Issued in CA
Legal business name
NOVA SURGICAL INSTITUTE LLC
Practice address
14624 Sherman Way
Suite 307
Van Nuys, CA 91405-2241
Phone
(818) 884-5480
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Oksana Komova
Title
Manager
Phone
(818) 274-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A42285 CA Primary

Addresses

Primary practice location

14624 Sherman Way
Suite 307
Van Nuys, CA 91405-2241

Mailing address

14624 Sherman Way
Suite 307
Van Nuys, CA 91405-2241
Phone (818) 884-5480

National Provider Directory

National Provider Directory
Tax ID family
Nova Surgical Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1265831606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE 307",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052241",
            "telephone_number": "818-884-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE 307",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052241",
            "telephone_number": "818-884-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SURGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "KOMOVA",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-274-2447"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A42285",
            "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 Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.