Organization Active NPI

Elite Ortho Surgical Institute, Inc.

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1992684484
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ELITE ORTHO SURGICAL INSTITUTE, INC.
Practice address
17000 Ventura Blvd Ste 211
Encino, CA 91316-4189
Phone
(818) 290-5949
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Karen Shirazi
Title
Ceo
Phone
(818) 290-5949

Specialties & licenses 1

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

Addresses

Primary practice location

17000 Ventura Blvd Ste 211
Encino, CA 91316-4189

Mailing address

17000 Ventura Blvd Ste 211
Encino, CA 91316-4189
Phone (818) 290-5949

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
05D2345798Elite Ortho Surgical Institute Inc17000 Ventura Blvd Suite 211, Encino, CA 91316Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

17000 Ventura Blvd
Ste 211
Encino, CA 91316
Phone (818) 290-5949

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1992684484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164189",
            "telephone_number": "818-290-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164189",
            "telephone_number": "818-290-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHO SURGICAL INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-5949"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.