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BEVERLY OAKS PHYSICIANS SURGICAL CENTER, LLC
NPI 1396054599
Clinic/Center - Ambulatory Surgical in Sherman Oaks, CA

Active since October 05, 2010CLIA 05D2302506 · Waiver
4910 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403(818) 986-9099 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beverly Oaks Physicians Surgical Center, Llc NPPES

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

BEVERLY OAKS PHYSICIANS SURGICAL CENTER, LLC (NPI 1396054599) is a healthcare organization registered as an ambulatory surgical in Sherman Oaks, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Janetta Chernega, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396054599
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBEVERLY OAKS PHYSICIANS SURGICAL CENTER, LLC
Location Address4910 VAN NUYS BLVD STE 308Sherman Oaks, CA 91403-1715
Mailing Address3727 Ventura Canyon AveSherman Oaks, CA 91423-4708 · (818) 426-0886
Phone(818) 986-9099
Organization SubpartNo
Authorized OfficialJanetta ChernegaAdministrator · (818) 986-9099
Enumeration DateOctober 5, 2010
Last NPPES UpdateOctober 21, 2014
✔ NPI 1396054599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4910 VAN NUYS BLVD STE 308, Sherman Oaks, CA 91403
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Other Identifiers 1

Medicare PINF1973CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Oaks Physicians Surgical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20101118000425Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2302506

Beverly Oaks Physicians Surgical Center · Sherman Oaks, CA
Active · expires Apr 9, 2028
CLIA Number05D2302506
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorDavid E. Rogers
Laboratory Phone(818) 986-9099
Laboratory LocationBeverly Oaks Physicians Surgical Center4910 Van Nuys Blvd #308, Sherman Oaks, CA 91403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Beverly Oaks Physicians Surgical Center, LLC's NPI number?

The NPI number for Beverly Oaks Physicians Surgical Center, LLC is 1396054599. It was assigned to this organization in the NPPES registry on October 5, 2010.

Where is Beverly Oaks Physicians Surgical Center, LLC located?

Beverly Oaks Physicians Surgical Center, LLC is located at 4910 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403. The listed phone number is (818) 986-9099.

What is Beverly Oaks Physicians Surgical Center, LLC's specialty?

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

Is Beverly Oaks Physicians Surgical Center, LLC enrolled in Medicare?

Yes. Beverly Oaks Physicians Surgical Center, LLC is registered in the Medicare PECOS enrollment system.

When is Beverly Oaks Physicians Surgical Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Beverly Oaks Physicians Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2302506) is associated with this NPI, valid through April 9, 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 Beverly Oaks Physicians Surgical Center, LLC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.