TRI-COUNTY SURGERY CENTER, INC.
NPI 1194907642
Clinic/Center - Ambulatory Fertility Facility in Los Angeles, CA

Active since November 27, 2007CLIA Certified · 2 labs
10390 SANTA MONICA BLVD STE 340, LOS ANGELES, CA 90025(858) 216-5402(310) 855-3390 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri-county Surgery Center, Inc. NPPES

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

TRI-COUNTY SURGERY CENTER, INC. (NPI 1194907642) is a healthcare organization registered as an ambulatory fertility facility in Los Angeles, California and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Thousand Oaks, and lists Julie Gu, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194907642
Entity TypeOrganization
Primary Taxonomy261QA0006X
Legal Business NameTRI-COUNTY SURGERY CENTER, INC.
Location Address10390 SANTA MONICA BLVD STE 340Los Angeles, CA 90025-6915
Mailing Address10390 Santa Monica Blvd Ste 340Los Angeles, CA 90025-6915 · (858) 216-5402 · Fax (310) 855-3390
Fax(310) 855-3390
Organization SubpartNo
Authorized OfficialJulie GuCfo · (626) 676-5341
Enumeration DateNovember 27, 2007
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
NPI 1194907642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory Fertility FacilityAmbulatory Health Care Facilities
Taxonomy Code261QA0006X
Definition
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
10390 SANTA MONICA BLVD STE 340, Los Angeles, CA 90025

Secondary Practice Location 1

Location 1325 Rolling Oaks Dr, 110BThousand Oaks, CA 91361-1201 · Phone (858) 216-5402

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 05D2305819

Tri-County Surgery Center, Inc · Los Angeles, CA
Active · expires Jul 29, 2027
CLIA Number05D2305819
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDr. Ellen Goldstein
Laboratory Phone(310) 855-3688
Laboratory LocationTri-County Surgery Center, Inc10390 Santa Monica Blvd Ste 340, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 05D2222987

Tri-County Surgery Center, Inc · Thousand Oaks, CA
Active · expires May 2, 2027
CLIA Number05D2222987
Laboratory TypeIvf Lab
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorGary Hubert
Laboratory Phone(805) 778-1122
Laboratory LocationTri-County Surgery Center, Inc325 Rolling Oaks Dr, Thousand Oaks, CA 91361
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Reproductive Endocrinology)
10390 SANTA MONICA BLVD STE 340
LOS ANGELES, CA 90025
Obstetrics & Gynecology (Reproductive Endocrinology)
10390 SANTA MONICA BLVD STE 340
LOS ANGELES, CA 90025
Obstetrics & Gynecology (Reproductive Endocrinology)
10390 SANTA MONICA BLVD STE 340
LOS ANGELES, CA 90025
Obstetrics & Gynecology (Reproductive Endocrinology)
10390 SANTA MONICA BLVD STE 340
LOS ANGELES, CA 90025

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 Tri-County Surgery Center, Inc.'s NPI number?

The NPI number for Tri-County Surgery Center, Inc. is 1194907642. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Tri-County Surgery Center, Inc. located?

Tri-County Surgery Center, Inc. is located at 10390 Santa Monica Blvd Ste 340, Los Angeles, CA 90025. The listed phone number is (858) 216-5402.

What is Tri-County Surgery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

Does Tri-County Surgery Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tri-County Surgery Center, Inc. was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.