Antelope Valley Surgery Center, PC

Organization Active NPI Ambulatory Surgical Clinic/Center · Palmdale, CA

NPI 1831496231 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1831496231
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
ANTELOPE VALLEY SURGERY CENTER, PC
Practice address
631 W Avenue Q
Suite C
Palmdale, CA 93551-3892
Phone
(800) 991-6448
Fax
(424) 369-9555
NPI assigned
Feb 21, 2011
Organization subpart
No

Authorized official

Name
Sheri Alley
Title
Director, Credentialing
Phone
(661) 388-5240

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Ambulatory surgical center

Listed as
Antelope Valley Surgery Center PC CCN 05C0001985
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2024726Antelope Valley Surgery Center, PC
631 W. Avenue Q, Suite C, Palmdale, CA 93551
Certificate of waiverMay 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110503000443 CA Part B Supplier - Ambulatory Surgical Center 4183809338 Practice locations: Palmdale, CA

National Provider Directory

Locations

631 W Avenue Q
Ste C
Palmdale, CA 93551
Phone (661) 266-2994

Specialties & licenses

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

Addresses

Primary practice location

631 W Avenue Q
Suite C
Palmdale, CA 93551-3892

Mailing address

PO Box 16297
Beverly Hills, CA 90209-2297
Phone (800) 991-6448

Other providers in Palmdale, CA

All providers in Palmdale, CA · Ambulatory Surgical Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.