Organization Active NPI

Crosssav Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Victorville, CA
National Provider Identifier
1942006960
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CROSSSAV SURGICAL CENTER INC
Practice address
15030 7TH St
Victorville, CA 92395-3811
Phone
(818) 577-9082
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Hany Malek, DC
Title
Ceo
Phone
(818) 577-9082

Specialties & licenses 1

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

Addresses

Primary practice location

15030 7TH St
Victorville, CA 92395-3811

Mailing address

4830 La Montana Cir
Tarzana, CA 91356-4818
Phone (818) 577-9082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250529001653 CA Part B Supplier - Ambulatory Surgical Center 7214456524 Practice locations: Victorville, CA

Ambulatory surgical center certification: CCN 55C0001225

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
Crosssav Surgical Center, Inc
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 2, 2026
Last certification
Jan 29, 2026
Facility address
15030 7th Street
Victorville, CA 92395

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
05D2338246Crosssav Surgical Center Inc15030 7TH Street, Victorville, CA 92395Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1942006960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 LA MONTANA CIR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564818",
            "telephone_number": "818-577-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953811",
            "telephone_number": "818-577-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSSAV SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-577-9082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.