PRIME HEALTHCARE SURGICAL CENTER OF THE VALLEY
NPI 1407529845
Clinic/Center - Ambulatory Surgical in Northridge, CA

Active since July 30, 2021CLIA 05D2162261 · Waiver
19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324(818) 709-5555 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2021, Jul 30, 2021 (2 updates tracked since 2021).

About Prime Healthcare Surgical Center Of The Valley NPPES

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

PRIME HEALTHCARE SURGICAL CENTER OF THE VALLEY (NPI 1407529845) is a healthcare organization registered as an ambulatory surgical in Northridge, California and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Christopher Doan, Managing Associate General Counsel, as its authorized official.

NPPES Registry Identity

NPI1407529845
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRIME HEALTHCARE ASC - NORTHRIDGE LLC
Location Address19331 BUSINESS CENTER DR STE 102Northridge, CA 91324-3533
Mailing Address3480 E Guasti Rd Fl 2Ontario, CA 91761-7684 · (310) 259-4706
Organization SubpartNo
Authorized OfficialChristopher DoanManaging Associate General Counsel · (310) 259-4706
Enumeration DateJuly 30, 2021
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1407529845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19331 BUSINESS CENTER DR STE 102, Northridge, CA 91324

Other Names 1

Doing Business AsPrime Healthcare Surgical Center Of The Valley

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 05D2162261

Prime Healthcare Surgical Center Of The Valley · Northridge, CA
Active · expires Feb 19, 2027
CLIA Number05D2162261
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorMuhammad A. Molani
Laboratory Phone(818) 709-5555
Laboratory LocationPrime Healthcare Surgical Center Of The Valley19331 Business Center Drive, Suite 102, Northridge, CA 91324
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.

Radiology (Vascular & Interventional Radiology)
19331 BUSINESS CENTER DR STE 102
NORTHRIDGE, CA 91324
Clinic/Center (Ambulatory Surgical)
19331 BUSINESS CENTER DR STE 102
NORTHRIDGE, CA 91324

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 Prime Healthcare ASC - Northridge LLC's NPI number?

The NPI number for Prime Healthcare ASC - Northridge LLC is 1407529845. It was assigned to this organization in the NPPES registry on July 30, 2021. The provider is doing business as Prime Healthcare Surgical Center Of The Valley.

Where is Prime Healthcare ASC - Northridge LLC located?

Prime Healthcare ASC - Northridge LLC is located at 19331 Business Center Dr Ste 102, Northridge, CA 91324. The listed phone number is (818) 709-5555.

What is Prime Healthcare ASC - Northridge LLC's specialty?

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

Does Prime Healthcare ASC - Northridge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162261) is associated with this NPI, valid through February 19, 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 Prime Healthcare ASC - Northridge LLC was last updated on September 15, 2021. 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.