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RIDGE SURGICAL CENTER
NPI 1194175117
Clinic/Center - Ambulatory Surgical in Agoura Hills, CA

Active since June 21, 2016CLIA 05D2118543 · Waiver
30300 AGOURA RD, SUITE B160, AGOURA HILLS, CA 91301(818) 889-1858(818) 889-1758 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ridge Surgical Center NPPES

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

RIDGE SURGICAL CENTER (NPI 1194175117) is a healthcare organization registered as an ambulatory surgical in Agoura Hills, California and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Anthony Andrew Virella, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194175117
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIDGE SURGICAL CENTER
Location Address30300 AGOURA RD, SUITE B160Agoura Hills, CA 91301-5400
Mailing Address30300 Agoura Rd, Suite B160Agoura Hills, CA 91301-5400 · (818) 889-1858 · Fax (818) 889-1758
Phone(818) 889-1858
Fax(818) 889-1758
Organization SubpartNo
Authorized OfficialAnthony Andrew VirellaMedical Director · (818) 889-1858
Enumeration DateJune 21, 2016
✔ NPI 1194175117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
30300 AGOURA RD, Agoura Hills, CA 91301
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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 05D2118543

Ridge Surgical Center, LLC · Agoura Hills, CA
Active · expires Sep 8, 2026
CLIA Number05D2118543
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorAnthony A. Virella, MD
Laboratory Phone(818) 889-1858
Laboratory LocationRidge Surgical Center, LLC30300 Agoura Rd Ste B 160, Agoura Hills, CA 91301
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 2

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

JEFFREY GERO
Psychologist
30300 AGOURA RD
AGOURA, CA 91301
Los Angeles County (818) 879-1373
DENISE C KRAUS LPCC
Counselor (Professional)
30300 AGOURA RD
AGOURA, CA 91301
Los Angeles County (818) 532-7950

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 Ridge Surgical Center's NPI number?

The NPI number for Ridge Surgical Center is 1194175117. It was assigned to this organization in the NPPES registry on June 21, 2016.

Where is Ridge Surgical Center located?

Ridge Surgical Center is located at 30300 Agoura Rd Suite B160, Agoura Hills, CA 91301. The listed phone number is (818) 889-1858.

What is Ridge Surgical Center's specialty?

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

Does Ridge Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2118543) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ridge Surgical Center was last updated on June 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.