PRO HEALTH SURGERY CENTER
NPI 1396480539
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since May 02, 2022CLIA 05D2285523 · Waiver
16311 VENTURA BLVD STE 1010, ENCINO, CA 91436(818) 980-9080(818) 475-1813 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pro Health Surgery Center NPPES

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

PRO HEALTH SURGERY CENTER (NPI 1396480539) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Bella M Shklyarenko, Manager, as its authorized official.

NPPES Registry Identity

NPI1396480539
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRO HEALTH SURGERY CENTER
Location Address16311 VENTURA BLVD STE 1010Encino, CA 91436-4345
Mailing Address16311 Ventura Blvd Ste 1210Encino, CA 91436-4388 · (818) 986-9080
Fax(818) 475-1813
Organization SubpartNo
Authorized OfficialBella M ShklyarenkoManager · (818) 990-9080
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
NPI 1396480539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
16311 VENTURA BLVD STE 1010, Encino, CA 91436

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 05D2285523

Pro Health Surgery Center · Encino, CA
Active · expires Jul 12, 2027
CLIA Number05D2285523
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorKarapet Dermendjian
Laboratory Phone(818) 990-9080
Laboratory LocationPro Health Surgery Center16311 Ventura Blvd Suite 1010, Encino, CA 91436
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

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

Clinic/Center (Ambulatory Surgical)
16311 VENTURA BLVD STE 1010
ENCINO, CA 91436

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 Pro Health Surgery Center's NPI number?

The NPI number for Pro Health Surgery Center is 1396480539. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Pro Health Surgery Center located?

Pro Health Surgery Center is located at 16311 Ventura Blvd Ste 1010, Encino, CA 91436. The listed phone number is (818) 980-9080.

What is Pro Health Surgery Center's specialty?

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

Does Pro Health Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2285523) is associated with this NPI, valid through July 12, 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 Pro Health Surgery Center was last updated on May 2, 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.