Active NPI
Crosssav Surgical Center Inc
- Ambulatory Surgical Clinic/Center
- Victorville, CA
National Provider Identifier
1942006960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 05D2338246 | Crosssav Surgical Center Inc | Certificate of waiver | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.