BRAND SURGICAL INSTITUTE
NPI 1083205306
Clinic/Center - Ambulatory Surgical in Glendale, CA

Active since January 29, 2021CLIA 05D2222401 · Waiver
716 W BROADWAY, GLENDALE, CA 91204(818) 243-9999(818) 243-9012 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brand Surgical Institute NPPES

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

BRAND SURGICAL INSTITUTE (NPI 1083205306) is a healthcare organization registered as an ambulatory surgical in Glendale, California and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Angel Samvalian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083205306
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBRAND SURGICAL INSTITUTE
Location Address716 W BROADWAYGlendale, CA 91204-1010
Mailing Address1141 N Brand Blvd Ste 200Glendale, CA 91202-2577 · (818) 243-9999 · Fax (818) 243-9999
Fax(818) 243-9012
Organization SubpartNo
Authorized OfficialAngel SamvalianCeo · (818) 402-7759
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1083205306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
716 W BROADWAY, Glendale, CA 91204

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 05D2222401

Brand Surgical Institute · Glendale, CA
Active · expires Apr 27, 2027
CLIA Number05D2222401
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorSergey Lyass
Laboratory Phone(818) 243-9999
Laboratory LocationBrand Surgical Institute716 W Broadway, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Multi-Specialty)
716 W BROADWAY
GLENDALE, CA 91204
Anesthesiology
716 W BROADWAY
GLENDALE, CA 91204
Anesthesiology
716 W BROADWAY
GLENDALE, CA 91204
Clinic/Center (Ambulatory Surgical)
716 W BROADWAY
GLENDALE, CA 91204
Clinic/Center (Ambulatory Surgical)
716 W BROADWAY
GLENDALE, CA 91204

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 Brand Surgical Institute's NPI number?

The NPI number for Brand Surgical Institute is 1083205306. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Brand Surgical Institute located?

Brand Surgical Institute is located at 716 W Broadway, Glendale, CA 91204. The listed phone number is (818) 243-9999.

What is Brand Surgical Institute's specialty?

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

Does Brand Surgical Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2222401) is associated with this NPI, valid through April 27, 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 Brand Surgical Institute was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.