Active NPI
Sherman Oaks Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SHERMAN OAKS AMBULATORY SURGERY CENTER
- Practice address
- 4940 Van Nuys Blvd Ste 103
Sherman Oaks, CA 91403-1739 - Phone
- (818) 990-9074
- Fax
- (818) 990-9076
- NPI assigned
- Sep 30, 2015
- 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
- Mehras Akhavan, M.D.
- Title
- President
- Phone
- (818) 990-9074
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4940 Van Nuys Blvd Ste 103
Sherman Oaks, CA 91403-1739
Mailing address
4940 Van Nuys Blvd Ste 103
Sherman Oaks, CA 91403-1739
Phone (818) 990-9074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Ambulatory surgical center certification: CCN 55C0001218
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 AMBULATORY SURGERY CENTER
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Aug 12, 2025
- Last certification
- Jul 8, 2025
- Facility address
- 4940 Van Nuys Blvd
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 |
|---|---|---|---|
| 05D2113090 | Sherman Oaks Ambulatory | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
4940 Van Nuys Blvd
Ste 103
Sherman Oaks, CA 91403
Phone (818) 990-9074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sherman Oaks, CA
- NPI 1497817332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443571200000",
"number": "1831569094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD STE 103",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031739",
"telephone_number": "818-990-9074",
"fax_number": "818-990-9076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD STE 103",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031739",
"telephone_number": "818-990-9074",
"fax_number": "818-990-9076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERMAN OAKS AMBULATORY SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A",
"authorized_official_last_name": "AKHAVAN",
"authorized_official_first_name": "MEHRAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-990-9074",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
- Amira Sheikh, DR.
- Renee Cilia Sheinin, M.D.
- Vanessa Rae Shelton
- Jessica Michelle Shenson, RD
- Shepherd Hospice Inc (Shepherd Hospice)
- Sherman Oaks Cardiology Associates
- Sherman Oaks Community Medical Center Inc
- Sherman Oaks Congregate Living Center, Inc
- Sherman Oaks Dental Arts
- Sherman Oaks Detox and Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.