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SOCAL OUTPATIENT SURGERY CENTER
NPI 1568820892
Clinic/Center - Ambulatory Surgical in Glendale, CA

Active since February 01, 2016CLIA 05D2113203 · Waiver
716 W BROADWAY, GLENDALE, CA 91204(818) 945-9845(818) 945-0892 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Feb 15, 2022, Mar 4, 2016 and 2 more (5 updates tracked since 2016).

About Socal Outpatient Surgery Center NPPES

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

SOCAL OUTPATIENT SURGERY CENTER (NPI 1568820892) is a healthcare organization registered as an ambulatory surgical in Glendale, California and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Angel Samvalian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568820892
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOCAL OUTPATIENT SURGERY CENTER
Location Address716 W BROADWAYGlendale, CA 91204-1010
Mailing Address1141 N Brand Blvd Ste 202Glendale, CA 91202-3660 · (818) 945-9845 · Fax (818) 945-0892
Phone(818) 945-9845
Fax(818) 945-0892
Organization SubpartNo
Authorized OfficialAngel SamvalianCeo · (818) 402-7759
Enumeration DateFebruary 1, 2016
Last NPPES UpdateNovember 16, 20225 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1568820892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
716 W BROADWAY, Glendale, CA 91204
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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 05D2113203

Socal Outpatient Surgery Center · Glendale, CA
Active · expires May 16, 2028
CLIA Number05D2113203
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorSergey Lyass
Laboratory Phone(818) 945-9845
Laboratory LocationSocal Outpatient Surgery Center1141 N Brand Blvd Ste 200, Glendale, CA 91202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

HOPE COMMUNITY CARE CLINIC, INC.
Clinic/Center (Multi-Specialty)
716 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 243-9999
BRAND SURGICAL INSTITUTE
Clinic/Center (Ambulatory Surgical)
716 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 243-9999
JONATHAN B LAU D.O.
Anesthesiology
716 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 550-0900
JANICE JAE TOWNSEND MD INC
Anesthesiology
716 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 244-8200
GLENDALE MULTI-SPECIALTY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
716 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 244-8200

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 Socal Outpatient Surgery Center's NPI number?

The NPI number for Socal Outpatient Surgery Center is 1568820892. It was assigned to this organization in the NPPES registry on February 1, 2016.

Where is Socal Outpatient Surgery Center located?

Socal Outpatient Surgery Center is located at 716 W Broadway, Glendale, CA 91204. The listed phone number is (818) 945-9845.

What is Socal Outpatient Surgery Center's specialty?

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

Does Socal Outpatient Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2113203) is associated with this NPI, valid through May 16, 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 Socal Outpatient Surgery Center was last updated on November 16, 2022. 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.