ADDISON ASC LLC
NPI 1467903716
Clinic/Center - Ambulatory Surgical in Sherman Oaks, CA

Active since October 21, 2016CLIA 05D2125283 · Waiver
4955 VAN NUYS BLVD, SUITE 719, SHERMAN OAKS, CA 91403(818) 325-0400 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2016, Oct 21, 2016 (2 updates tracked since 2016).

About Addison Asc Llc NPPES

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

ADDISON ASC LLC (NPI 1467903716) is a healthcare organization registered as an ambulatory surgical in Sherman Oaks, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Larisse K Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467903716
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADDISON ASC LLC
Location Address4955 VAN NUYS BLVD, SUITE 719Sherman Oaks, CA 91403-1801
Mailing Address4955 Van Nuys Blvd, Suite 719Sherman Oaks, CA 91403-1801 · (818) 325-0400
Organization SubpartNo
Authorized OfficialLarisse K LeeMedical Director · (818) 325-0400
Enumeration DateOctober 21, 2016
Last NPPES UpdateOctober 31, 20162 updates tracked since enumeration
NPI 1467903716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4955 VAN NUYS BLVD, Sherman Oaks, CA 91403

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 05D2125283

Addison ASC, LLC · Sherman Oaks, CA
Active · expires Feb 2, 2027
CLIA Number05D2125283
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorLarisse K. Lee, MD
Laboratory Phone(808) 325-0400
Laboratory LocationAddison ASC, LLC4955 Van Nuys Blvd Ste 719, Sherman Oaks, CA 91403
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 20

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

Dentist
4955 VAN NUYS BLVD, SUITE #518
SHERMAN OAKS, CA 91403
Internal Medicine
4955 VAN NUYS BLVD, SUITE 405
SHERMAN OAKS, CA 91403
Dermatology
4955 VAN NUYS BLVD, 516
SHERMAN OAKS, CA 91403
Family Medicine
4955 VAN NUYS BLVD, SUITE 415
SHERMAN OAKS, CA 91403
Nurse Practitioner
4955 VAN NUYS BLVD, SUITE 411
SHERMAN OAKS, CA 91403
Family Medicine
4955 VAN NUYS BLVD, SUITE 308
SHERMAN OAKS, CA 91403
Dentist (General Practice)
4955 VAN NUYS BLVD, 716
SHERMAN OAKS, CA 91403
Surgery (Vascular Surgery)
4955 VAN NUYS BLVD, SUITE 704
SHERMAN OAKS, CA 91403

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 Addison ASC LLC's NPI number?

The NPI number for Addison ASC LLC is 1467903716. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is Addison ASC LLC located?

Addison ASC LLC is located at 4955 Van Nuys Blvd Suite 719, Sherman Oaks, CA 91403. The listed phone number is (818) 325-0400.

What is Addison ASC LLC's specialty?

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

Does Addison ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125283) is associated with this NPI, valid through February 2, 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 Addison ASC LLC was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.