CENTRAL SURGERY CENTER LLC
NPI 1104440189
Clinic/Center - Ambulatory Surgical in Glendale, CA

Active since June 04, 2020CLIA 05D2221976 · Waiver
800 S CENTRAL AVE STE 102, GLENDALE, CA 91204(818) 388-0877 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Surgery Center Llc NPPES

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

CENTRAL SURGERY CENTER LLC (NPI 1104440189) is a healthcare organization registered as an ambulatory surgical in Glendale, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Natalie A Plyamm, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104440189
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRAL SURGERY CENTER LLC
Location Address800 S CENTRAL AVE STE 102Glendale, CA 91204-4370
Mailing Address800 S Central Ave Ste 102Glendale, CA 91204-4370 · (818) 388-0877
Organization SubpartNo
Authorized OfficialNatalie A PlyammAdministrator · (818) 388-0877
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
NPI 1104440189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
800 S CENTRAL AVE STE 102, 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 05D2221976

Central Surgery Center LLC · Glendale, CA
Active · expires Apr 25, 2027
CLIA Number05D2221976
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorMichael Bublik
Laboratory Phone(818) 388-0877
Laboratory LocationCentral Surgery Center LLC800 S Central Ave Suite 102, 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.

Areas of Expertise CMS Part B claims 13

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.

Partial removal of nasal sinus using an endoscope 31254
This procedure involves the use of an endoscope, a thin tube with a camera, to partially remove nasal sinus tissue. It's done to improve sinus drainage or to remove polyps, often aiding in relieving sinusitis symptoms.
156 services79 patients
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.
113 services57 patients
Dilation of nasal sinus using an endoscope 31295
Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.
99 services50 patients
Dilation of sphenoid and frontal nasal sinus using an endoscope 31298
This procedure involves enlarging the openings of your sphenoid and frontal nasal sinuses using a thin, lighted tube called an endoscope. It helps to alleviate symptoms of sinusitis, improving your breathing and reducing discomfort.
88 services45 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.
80 services40 patients
Removal or destruction of growth of nose through nose 30117
This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.
52 services33 patients

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
800 S CENTRAL AVE STE 102
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 Central Surgery Center LLC's NPI number?

The NPI number for Central Surgery Center LLC is 1104440189. It was assigned to this organization in the NPPES registry on June 4, 2020.

Where is Central Surgery Center LLC located?

Central Surgery Center LLC is located at 800 S Central Ave Ste 102, Glendale, CA 91204. The listed phone number is (818) 388-0877.

What is Central Surgery Center LLC's specialty?

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

Does Central Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2221976) is associated with this NPI, valid through April 25, 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 Central Surgery Center LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.