EV SURGERY INSTITUTE LLC
NPI 1538775267
Clinic/Center - Ambulatory Surgical in San Jose, CA

Active since September 18, 2020CLIA 05D2295539 · Waiver
105 N BASCOM AVE STE 103, SAN JOSE, CA 95128(408) 761-5847 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 11, 2023, Nov 3, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Ev Surgery Institute Llc NPPES

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

EV SURGERY INSTITUTE LLC (NPI 1538775267) is a healthcare organization registered as an ambulatory surgical in San Jose, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Barbara Lee Roth, Vp Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1538775267
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEV SURGERY INSTITUTE LLC
Location Address105 N BASCOM AVE STE 103San Jose, CA 95128-1811
Mailing Address4215 Hamilton AveSan Jose, CA 95130-1462 · (408) 761-5847
Organization SubpartNo
Authorized OfficialBarbara Lee RothVp Of Clinical Operations · (408) 761-5847
Enumeration DateSeptember 18, 2020
Last NPPES UpdateMarch 11, 20233 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
NPI 1538775267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
105 N BASCOM AVE STE 103, San Jose, CA 95128

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 05D2295539

Ev Surgery Institute LLC · San Jose, CA
Active · expires Dec 12, 2027
CLIA Number05D2295539
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorArash M. Padidar
Laboratory Phone(408) 761-5847
Laboratory LocationEv Surgery Institute LLC105 N Bascom Ave Ste 103, San Jose, CA 95128
CLIA data matches this NPI record on: Address 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 Ev Surgery Institute LLC's NPI number?

The NPI number for Ev Surgery Institute LLC is 1538775267. It was assigned to this organization in the NPPES registry on September 18, 2020.

Where is Ev Surgery Institute LLC located?

Ev Surgery Institute LLC is located at 105 N Bascom Ave Ste 103, San Jose, CA 95128. The listed phone number is (408) 761-5847.

What is Ev Surgery Institute LLC's specialty?

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

Does Ev Surgery Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2295539) is associated with this NPI, valid through December 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 Ev Surgery Institute LLC was last updated on March 11, 2023. 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.