Active NPI
Sherman Oaks Surgery Center Inc. a Medical Corporation
- Ambulatory Surgical Clinic/Center
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 975-4776372
- Legal business name
- SHERMAN OAKS SURGERY CENTER INC. A MEDICAL CORPORATION
- Practice address
- 5170 Sepulveda Blvd
#140
Sherman Oaks, CA 91403-1171 - Phone
- (818) 728-4833
- NPI assigned
- Jan 9, 2007
- 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
- Dr. Aziz H Berjis, DPM
- Title
- Medical Director
- Phone
- (818) 995-8702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 9300946 | CA | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 975-4776372 | CA | Primary |
Addresses
Primary practice location
5170 Sepulveda Blvd
#140
Sherman Oaks, CA 91403-1171
Mailing address
5170 Sepulveda Blvd
Ste 140
Sherman Oaks, CA 91403
Phone (818) 995-8702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090721000600 | CA | Part B Supplier - Ambulatory Surgical Center | 2062564156 | Practice locations: Sherman Oaks, CA |
Ambulatory surgical center certification: CCN 05C0001477
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
- SHERMAN OAKS SURGERY CENTER
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Aug 22, 2000
- Last certification
- Mar 13, 2019
- Ownership / control type
- Proprietary
- Facility address
- 5170 Sepulveda Blvd, Suite 140
Sherman Oaks, CA 91403
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2210244 | Sherman Oaks Surgery Center | Certificate of waiver | Jan 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
5170 Sepulveda Blvd
Ste 140
Sherman Oaks, CA 91403
Phone (818) 728-4833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Van Nuys, CA
- NPI 1720163710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465516800000",
"number": "1790834612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 SEPULVEDA BLVD",
"address_2": "STE 140",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-995-8702",
"fax_number": "818-995-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 SEPULVEDA BLVD",
"address_2": "#140",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031171",
"telephone_number": "818-728-4833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERMAN OAKS SURGERY CENTER INC. A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2016-06-10",
"status": "A",
"authorized_official_last_name": "BERJIS",
"authorized_official_first_name": "AZIZ",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-995-8702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "9300946",
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "975-4776372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.