Active NPI
Valley Physicians Surgery Center at Northridge LLC
- Ambulatory Surgical Clinic/Center
- Northridge, CA
National Provider Identifier
1710321328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325-4105 - Phone
- (760) 710-1757
- Fax
- (760) 683-3900
- NPI assigned
- Apr 25, 2013
- Last updated
- Apr 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trey Parsons
- Title
- VP of Operations
- Phone
- (760) 710-1757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Mailing address
18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (760) 710-1757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130724000301 | CA | Part B Supplier - Ambulatory Surgical Center | 5799926374 | Practice locations: Northridge, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Valley Physicians Surgery Center at Northridge LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
Member Of
-
dba Mercy Memorial Home Health
- Home Health Agency
- Bakersfield, CA
- NPI 1609926765
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- West Hills, CA
- NPI 1093780900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366848000000",
"number": "1710321328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "760-710-1757",
"fax_number": "760-683-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "760-710-1757",
"fax_number": "760-683-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "TREY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "760-710-1757"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
- Valley Ace Dental Group Joint (Valley Ace Dental Group)
- Valley Anesthesia Physicians Medical Group, Inc
- Valley Glen Home Health Care Inc
- Valley Healthcare Inc.
- Valley Integrated Health Care Service (Balboa Sleep Disorder Laboratory)
- Valley Pulmonary Medical Group
- Valley Urgent Care
- Valley Urgent Care Medical Group Inc
- Valley Village
- Evelyn Vallin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.