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NORTHRIDGE FACIAL PLASTIC SURGERY MEDICAL GROUP A PROFESSIONAL CORP
NPI 1003824434
Clinic/Center - Ambulatory Surgical in Northridge, CA

Active since August 03, 2006CLIA 05D2008465 · Waiver
18350 ROSCOE BLVD, #318A, NORTHRIDGE, CA 91325(818) 993-9824(818) 993-0937 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northridge Facial Plastic Surgery Medical Group A Professional Corp NPPES

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

NORTHRIDGE FACIAL PLASTIC SURGERY MEDICAL GROUP A PROFESSIONAL CORP (NPI 1003824434) is a healthcare organization registered as an ambulatory surgical in Northridge, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Marc M Kerner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003824434
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHRIDGE FACIAL PLASTIC SURGERY MEDICAL GROUP A PROFESSIONAL CORP
Location Address18350 ROSCOE BLVD, #318ANorthridge, CA 91325-4109
Mailing Address18350 Roscoe Blvd # 318aNorthridge, CA 91325-4109 · (818) 993-9824 · Fax (818) 993-0937
Phone(818) 993-9824
Fax(818) 993-0937
Organization SubpartNo
Authorized OfficialMarc M KernerMedical Director · (818) 349-0600
Enumeration DateAugust 3, 2006
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1003824434 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 · S051366
18350 ROSCOE BLVD, Northridge, CA 91325
Open in Google Maps ↗

Other Identifiers 2

OtherZZZH1907BCA · Blue Shield Prov Identica
OtherSO51366CA · Medicare

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 05D2008465

Northridge Facial Plastic Surgery Medical Group · Northridge, CA
Active · expires Jun 9, 2028
CLIA Number05D2008465
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorMarc M. Kerner
Laboratory Phone(818) 349-0600
Laboratory LocationNorthridge Facial Plastic Surgery Medical Group18350 Roscoe Blvd Suite 318A, Northridge, CA 91325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
69 services35 patients
Removal of nasal sinus tissue using an endoscope 31267
This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.
59 services32 patients
Removal of nasal breathing passages using an endoscope 31240
The procedure involves using a thin, flexible tool called an endoscope to remove blockages in your nasal breathing passages. This can improve airflow, reduce discomfort, and enhance your overall breathing. It's a safe, minimally invasive procedure often done under general anesthesia.
44 services23 patients
Removal of tissue from sphenoid sinus using an endoscope 31259
This is a procedure where a small camera (endoscope) is used to view and remove tissue from the sphenoid sinus, a space in the back of your nose. It helps to diagnose or treat conditions affecting this area. Minimal discomfort is expected.
33 services19 patients
Exploration of nasal sinus using an endoscope 31276
Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.
33 services19 patients
Reshaping of nasal cartilage 30520
Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
24 services24 patients

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.

DR. ANDREW CHANG M.D.
Ophthalmology
18350 ROSCOE BLVD, SUITE 101
NORTHRIDGE, CA 91325
Los Angeles County (818) 349-8300
DR. FARES RABADI M.D.
Internal Medicine
18350 ROSCOE BLVD, SUITE 514
NORTHRIDGE, CA 91325
Los Angeles County (818) 775-0519
SASIPAN JETAWATANA
Pharmacist
18350 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 688-5772
DR. RITOO GAGNEJA M.D.
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Los Angeles County (818) 727-1515
FAMILY MEDICINE ASSOCIATES OF NORTHRIDGE A MEDICAL GROUP INC
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Los Angeles County (818) 727-1515
JAMES CHRISTOPHER ANDREWS M.D.
Otolaryngology (Otology & Neurotology)
18350 ROSCOE BLVD, SUITE 518
NORTHRIDGE, CA 91325
Los Angeles County (818) 349-0680
DR. ADEL F. JABOUR M.D.
Surgery
18350 ROSCOE BLVD, SUITE #200
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-7905
TODAY'S WOMEN MEDICAL GROUP, INC.
Obstetrics & Gynecology
18350 ROSCOE BLVD, SUITE 405
NORTHRIDGE, CA 91325
Los Angeles County (818) 700-8300

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 Northridge Facial Plastic Surgery Medical Group A Professional Corp's NPI number?

The NPI number for Northridge Facial Plastic Surgery Medical Group A Professional Corp is 1003824434. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Northridge Facial Plastic Surgery Medical Group A Professional Corp located?

Northridge Facial Plastic Surgery Medical Group A Professional Corp is located at 18350 Roscoe Blvd #318a, Northridge, CA 91325. The listed phone number is (818) 993-9824.

What is Northridge Facial Plastic Surgery Medical Group A Professional Corp's specialty?

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

Does Northridge Facial Plastic Surgery Medical Group A Professional Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2008465) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northridge Facial Plastic Surgery Medical Group A Professional Corp was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.