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SAN GABRIEL VALLEY CHILDRENS SURGERY CENTER LLC
NPI 1083575138
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since November 19, 2025CLIA 05D2344048 · Waiver
16260 VENTURA BLVD STE 800, ENCINO, CA 91436(818) 814-9800(818) 814-9888 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Gabriel Valley Childrens Surgery Center Llc NPPES

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

SAN GABRIEL VALLEY CHILDRENS SURGERY CENTER LLC (NPI 1083575138) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Jeffrey Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083575138
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN GABRIEL VALLEY CHILDRENS SURGERY CENTER LLC
Location Address16260 VENTURA BLVD STE 800Encino, CA 91436-4606
Mailing Address16260 Ventura Blvd Ste 800Encino, CA 91436-4606 · (818) 814-9800 · Fax (818) 814-9888
Phone(818) 814-9800
Fax(818) 814-9888
Organization SubpartNo
Authorized OfficialJeffrey WheelerCeo · (301) 494-3000
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1083575138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
16260 VENTURA BLVD STE 800, Encino, CA 91436
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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 05D2344048

San Gabriel Valley Children's Surgery Center, LLC · Encino, CA
Active · expires May 14, 2028
CLIA Number05D2344048
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorR Scott Dyer
Laboratory Phone(818) 814-9800
Laboratory LocationSan Gabriel Valley Children's Surgery Center, LLC16260 Ventura Blvd, Suite 800, Encino, CA 91436
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ENCINO SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
16260 VENTURA BLVD STE 800
ENCINO, CA 91436
Los Angeles County (818) 348-7246
PACIFIC COAST CHILDRENS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
16260 VENTURA BLVD STE 800
ENCINO, CA 91436
Los Angeles County (818) 814-9800
THOMAS DENTAL GROUP OF ENCINO, PLLC
Dentist
16260 VENTURA BLVD STE 800
ENCINO, CA 91436
Los Angeles County (301) 494-3000

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 San Gabriel Valley Childrens Surgery Center LLC's NPI number?

The NPI number for San Gabriel Valley Childrens Surgery Center LLC is 1083575138. It was assigned to this organization in the NPPES registry on November 19, 2025.

Where is San Gabriel Valley Childrens Surgery Center LLC located?

San Gabriel Valley Childrens Surgery Center LLC is located at 16260 Ventura Blvd Ste 800, Encino, CA 91436. The listed phone number is (818) 814-9800.

What is San Gabriel Valley Childrens Surgery Center LLC's specialty?

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

Does San Gabriel Valley Childrens Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2344048) is associated with this NPI, valid through May 14, 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 San Gabriel Valley Childrens Surgery Center LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.