NPIMap

Organization Active NPI

Encino Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1316342579
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENCINO SURGICAL CENTER LLC
Practice address
16260 Ventura Blvd Ste 800
Encino, CA 91436-4606
Phone
(818) 348-7246
Fax
(213) 762-0169
NPI assigned
Oct 30, 2014
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Jeffrey Wheeler
Title
Ceo
Phone
(818) 814-9800

Specialties & licenses 1

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

Addresses

Primary practice location

16260 Ventura Blvd Ste 800
Encino, CA 91436-4606

Mailing address

16260 Ventura Blvd Ste 800
Encino, CA 91436-4606
Phone (818) 348-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150303002017 CA Part B Supplier - Ambulatory Surgical Center 1052637311 Practice locations: Encino, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1316342579. Details of each certification follow.

Hospital certification: CCN 050814

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ENCINO SURGICAL CENTER, LLC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jul 30, 2020
Last certification
Jul 30, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
16260 Ventura Blvd, Suite 800
Encino, CA 91436

Ambulatory surgical center certification: CCN 05C0002107

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Encino Surgical Center, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 17, 2016
Last certification
Mar 14, 2019
Ownership / control type
Proprietary
Facility address
16260 Ventura Blvd, Suite 800
Encino, CA 91436

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
05D2291711Encino Surgical Center LLC16260 Ventura Blvd Suite 800, Encino, CA 91436Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1316342579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364606",
            "telephone_number": "818-348-7246",
            "fax_number": "213-762-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364606",
            "telephone_number": "818-348-7246",
            "fax_number": "213-762-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-814-9800"
    },
    "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

Verify at the official NPI Registry.