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ROLLING OAKS SURGERY CENTER LLC
NPI 1003216276
Clinic/Center - Ambulatory Surgical in Thousand Oaks, CA

Active since August 25, 2014CLIA 05D2089586 · Waiver
415 ROLLING OAKS DR, SUITE 115, THOUSAND OAKS, CA 91361(805) 373-7073(805) 373-1116 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rolling Oaks Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLLING OAKS SURGERY CENTER LLC (NPI 1003216276) is a healthcare organization registered as an ambulatory surgical in Thousand Oaks, California and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Kouros Azar, Manager, as its authorized official.

NPPES Registry Identity

NPI1003216276
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROLLING OAKS SURGERY CENTER LLC
Location Address415 ROLLING OAKS DR, SUITE 115Thousand Oaks, CA 91361-1029
Mailing Address425 Haaland Dr, Suite 200Thousand Oaks, CA 91361-5229 · (805) 373-7073 · Fax (805) 373-1116
Phone(805) 373-7073
Fax(805) 373-1116
Organization SubpartNo
Authorized OfficialKouros AzarManager · (805) 373-7073
Enumeration DateAugust 25, 2014
Last NPPES UpdateNovember 20, 2014
✔ NPI 1003216276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · A79029
415 ROLLING OAKS DR, Thousand Oaks, CA 91361
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2089586

Rolling Oaks Surgery Center · Thousand Oaks, CA
Active · expires Jan 4, 2027
CLIA Number05D2089586
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorKouros Azar
Laboratory Phone(805) 373-7073
Laboratory LocationRolling Oaks Surgery Center415 E Rolling Oaks Dr Ste 115, Thousand Oaks, CA 91361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY FEINFIELD, M.D. INC
Specialist
415 ROLLING OAKS DR, SUITE 190
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-4797
DR. FARIDEH KOHANGHADOSH D.D.S.
Dentist
415 ROLLING OAKS DR, SUITE 120
THOUSAND OAKS, CA 91361
Los Angeles County (805) 449-9952
MICHAEL T MOSHER M.D.
Allergy & Immunology (Allergy)
415 ROLLING OAKS DR, SUITE 280
THOUSAND OAKS, CA 91361
Los Angeles County (805) 496-8522
PUSH MIDWIFERY
Clinic/Center (Birthing)
415 ROLLING OAKS DR, SUITE 190
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-1333
DR. LOUISE GARCIA M.D.
Obstetrics & Gynecology
415 ROLLING OAKS DR, SUITE 200
THOUSAND OAKS, CA 91361
Los Angeles County (805) 777-7009
DR. DONALD EDMOND DECKER M.D.
Radiology (Diagnostic Radiology)
415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (805) 778-1513
LISA DE FAZIO R.D.
Dietitian, Registered
415 ROLLING OAKS DR, SUITE 210
THOUSAND OAKS, CA 91361
Los Angeles County (805) 299-0301
MR. ROBERT ALAN PRINCENTHAL MD
Radiology (Diagnostic Radiology)
415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (805) 778-1513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolling Oaks Surgery Center LLC's NPI number?

The NPI number for Rolling Oaks Surgery Center LLC is 1003216276. It was assigned to this organization in the NPPES registry on August 25, 2014.

Where is Rolling Oaks Surgery Center LLC located?

Rolling Oaks Surgery Center LLC is located at 415 Rolling Oaks Dr Suite 115, Thousand Oaks, CA 91361. The listed phone number is (805) 373-7073.

What is Rolling Oaks Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Rolling Oaks Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2089586) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rolling Oaks Surgery Center LLC was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.