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ELITE OUTPATIENT SURGICAL INSTITUTE, INC
NPI 1285365437
Clinic/Center - Ambulatory Surgical in Reseda, CA

Active since June 20, 2022CLIA 05D2279763 · Waiver
18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335(818) 774-1309(818) 774-9719 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Outpatient Surgical Institute, Inc NPPES

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

ELITE OUTPATIENT SURGICAL INSTITUTE, INC (NPI 1285365437), doing business as Prime Surgical Center, Inc., is a healthcare organization registered as an ambulatory surgical in Reseda, California and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Shawn Rabbani, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285365437
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELITE OUTPATIENT SURGICAL INSTITUTE, INC
Location Address18909 SHERMAN WAY, SUITE CReseda, CA 91335-6184
Mailing Address18909 Sherman Way, Suite CReseda, CA 91335-6184 · (818) 774-1309 · Fax (818) 774-9719
Phone(818) 774-1309
Fax(818) 774-9719
Organization SubpartNo
Authorized OfficialShawn RabbaniMedical Director · (818) 774-1309
Enumeration DateJune 20, 2022
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1285365437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
18909 SHERMAN WAY, Reseda, CA 91335
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Other Names 1

Former Legal Business NamePrime Surgical Center, Inc.

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 05D2279763

Elite Outpatient Surgival Institute · Reseda, CA
Active · expires Apr 5, 2027
CLIA Number05D2279763
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorKourosh Noormand
Laboratory Phone(818) 774-1309
Laboratory LocationElite Outpatient Surgival Institute18909 Sherman Way Suite C, Reseda, CA 91335
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 5

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

PACIFIC MEDICAL ANALYSIS, INC
Radiologic Technologist (Vascular-Interventional Technology)
18909 SHERMAN WAY, B
RESEDA, CA 91335
Los Angeles County (818) 401-1048
SHERMAN WAY SURGICAL CENTER INC
Clinic/Center (Ambulatory Surgical)
18909 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 774-1309
MY FOOT CLINIC, INC
Podiatrist (Foot & Ankle Surgery)
18909 SHERMAN WAY, B
RESEDA, CA 91335
Los Angeles County (818) 344-6300
MEDICAL SOLUTIONS PODIATRY, INC.
Specialist/Technologist Cardiovascular (Vascular Specialist)
18909 SHERMAN WAY, SUITE 100
RESEDA, CA 91335
Los Angeles County (818) 774-1616
NEW HEALTH DURABLE MEDICAL EQUIPMENT
Durable Medical Equipment & Medical Supplies
18909 SHERMAN WAY, STE D
RESEDA, CA 91335
Los Angeles County (213) 500-3063

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 Elite Outpatient Surgical Institute, Inc's NPI number?

The NPI number for Elite Outpatient Surgical Institute, Inc is 1285365437. It was assigned to this organization in the NPPES registry on June 20, 2022. The provider was formerly known as Prime Surgical Center, Inc..

Where is Elite Outpatient Surgical Institute, Inc located?

Elite Outpatient Surgical Institute, Inc is located at 18909 Sherman Way Suite C, Reseda, CA 91335. The listed phone number is (818) 774-1309.

What is Elite Outpatient Surgical Institute, Inc's specialty?

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

Does Elite Outpatient Surgical Institute, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2279763) is associated with this NPI, valid through April 5, 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 Elite Outpatient Surgical Institute, Inc was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.