Organization Active NPI

Valley Endoscopy Center LP

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
National Provider Identifier
1366422479
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
930000809 Issued in CA
Legal business name
VALLEY ENDOSCOPY CENTER LP
Practice address
18425 Burbank Blvd
Suite 525
Tarzana, CA 91356-2806
Phone
(818) 708-6050
Fax
(818) 708-6055
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mrs. Monica Sach
Title
Administrator
Phone
(310) 963-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930000809 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite 525
Tarzana, CA 91356-2806

Mailing address

18425 Burbank Blvd
Suite 525
Tarzana, CA 91356-2806
Phone (818) 708-6050

Other names 1

  • The Valley Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000830 CA Part B Supplier - Ambulatory Surgical Center 9739259334 Practice locations: Tarzana, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Valley Endoscopy CenterCCN 05C0001296
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
05D0957429Valley Endoscopy Center18425 Burbank Boulevard Suite 525, Tarzana, CA 91356Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1366422479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 525",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6050",
            "fax_number": "818-708-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 525",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6050",
            "fax_number": "818-708-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ENDOSCOPY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "SACH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-963-6151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Valley Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.