SPECIALTY SURGICAL CENTER OF ENCINO LP
NPI 1588679179
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since July 30, 2006CLIA 05D2032109 · Waiver
16501 VENTURA BLVD, STE 103, ENCINO, CA 91436(310) 659-6333(310) 659-2333 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Specialty Surgical Center Of Encino Lp NPPES

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

SPECIALTY SURGICAL CENTER OF ENCINO LP (NPI 1588679179) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1588679179
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPECIALTY SURGICAL CENTER OF ENCINO LP
Location Address16501 VENTURA BLVD, STE 103Encino, CA 91436-2007
Mailing Address8670 Wilshire Blvd, Ste 301Beverly Hills, CA 90211-2924 · (310) 659-6333 · Fax (310) 659-2333
Fax(310) 659-2333
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1588679179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
16501 VENTURA BLVD, 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 05D2032109

Specialty Surgical Center Of Encino, LP · Encino, CA
Active · expires Nov 2, 2027
CLIA Number05D2032109
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorNeil D. Fagen
Laboratory Phone(818) 907-1085
Laboratory LocationSpecialty Surgical Center Of Encino, LP16501 Ventura Blvd Ste 103, Encino, CA 91436
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
384 services378 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
304 services302 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
237 services237 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
143 services143 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
116 services116 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
87 services37 patients

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.

Anesthesiology
16501 VENTURA BLVD, STE.#103
ENCINO, CA 91436
Anesthesiology
16501 VENTURA BLVD, STE.#103
ENCINO, CA 91436
Behavior Technician
16501 VENTURA BLVD
ENCINO, CA 91436
Behavior Technician
16501 VENTURA BLVD
ENCINO, CA 91436
Behavior Technician
16501 VENTURA BLVD
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 Specialty Surgical Center Of Encino LP's NPI number?

The NPI number for Specialty Surgical Center Of Encino LP is 1588679179. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Specialty Surgical Center Of Encino LP located?

Specialty Surgical Center Of Encino LP is located at 16501 Ventura Blvd Ste 103, Encino, CA 91436. The listed phone number is (310) 659-6333.

What is Specialty Surgical Center Of Encino LP's specialty?

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

Does Specialty Surgical Center Of Encino LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2032109) is associated with this NPI, valid through November 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 Specialty Surgical Center Of Encino LP was last updated on February 8, 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.