Organization Active NPI

Los Robles Surgicenter, LLC

Doing business as Los Robles Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1336294859
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
05000028 Issued in CA
Legal business name
LOS ROBLES SURGICENTER, LLC
Doing business as
Los Robles Surgicenter
Practice address
2190 Lynn Rd
Suite 100
Thousand Oaks, CA 91360-1980
Phone
(805) 497-3737
Fax
(805) 373-8878
NPI assigned
Jan 24, 2007
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
David W McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 05000028 CA Primary

Addresses

Primary practice location

2190 Lynn Rd
Suite 100
Thousand Oaks, CA 91360-1980

Mailing address

2190 Lynn Rd Ste 100
Thousand Oaks, CA 91360-8019
Phone (805) 497-3737

Other identifiers 1

IdentifierTypeStateIssuer
05-C0001215OtherCADEPT OF HEALTH & HUMAN SE

Other names 1

  • Los Robles Surgicenter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000687 CA Part B Supplier - Ambulatory Surgical Center 2567551765 Practice locations: Thousand Oaks, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Los Robles Surgicenter LLCCCN 05C0001215
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
05D0864724Los Robles Surgicenter, LLC2190 Lynn Road Suite #100, Thousand Oaks, CA 91360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1336294859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608019",
            "telephone_number": "805-497-3737",
            "fax_number": "805-373-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-497-3737",
            "fax_number": "805-373-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROBLES SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "05000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH & HUMAN SE",
            "identifier": "05-C0001215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Robles Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Robles Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.