EVOLVE SURGERY CENTER LLC
NPI 1083467286
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since April 08, 2024CLIA 05D2304318 · Waiver
5353 BALBOA BLVD STE 300, ENCINO, CA 91316(818) 922-8565 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Apr 8, 2024 (2 updates tracked since 2024).

About Evolve Surgery Center Llc NPPES

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

EVOLVE SURGERY CENTER LLC (NPI 1083467286) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Eddie Fox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083467286
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEVOLVE SURGERY CENTER LLC
Location Address5353 BALBOA BLVD STE 300Encino, CA 91316-2863
Mailing Address5353 Balboa Blvd Ste 300Encino, CA 91316-2863 · (818) 922-8565
Organization SubpartNo
Authorized OfficialEddie FoxCfo · (818) 922-8565
Enumeration DateApril 8, 2024
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1083467286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5353 BALBOA BLVD STE 300, Encino, CA 91316

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 05D2304318

Evolve Surgery Center · Encino, CA
Active · expires May 9, 2028
CLIA Number05D2304318
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorRyan Mattie
Laboratory Phone(818) 922-8565
Laboratory LocationEvolve Surgery Center5353 Balboa Blvd Ste 300, Encino, CA 91316
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

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

Anesthesiology
5353 BALBOA BLVD STE 300
ENCINO, CA 91316

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 Evolve Surgery Center LLC's NPI number?

The NPI number for Evolve Surgery Center LLC is 1083467286. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Evolve Surgery Center LLC located?

Evolve Surgery Center LLC is located at 5353 Balboa Blvd Ste 300, Encino, CA 91316. The listed phone number is (818) 922-8565.

What is Evolve Surgery Center LLC's specialty?

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

Does Evolve Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304318) is associated with this NPI, valid through May 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 Evolve Surgery Center LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.