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VYTAL SURGICAL INSTITUTE INC
NPI 1619502283
Clinic/Center - Ambulatory Surgical in Tarzana, CA

Active since March 04, 2020CLIA 05D2203501 · Waiver
19228 VENTURA BLVD STE A, TARZANA, CA 91356(818) 578-5125(818) 578-6039 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Dec 12, 2023, Nov 14, 2023 and 1 more (4 updates tracked since 2020).

About Vytal Surgical Institute Inc NPPES

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

VYTAL SURGICAL INSTITUTE INC (NPI 1619502283) is a healthcare organization registered as an ambulatory surgical in Tarzana, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Fardin Hakakian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619502283
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVYTAL SURGICAL INSTITUTE INC
Location Address19228 VENTURA BLVD STE ATarzana, CA 91356-3101
Mailing Address19228 Ventura Blvd Ste ATarzana, CA 91356-3101 · (818) 578-5125 · Fax (818) 578-6039
Phone(818) 578-5125
Fax(818) 578-6039
Organization SubpartNo
Authorized OfficialFardin HakakianCeo · (818) 578-5125
Enumeration DateMarch 4, 2020
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1619502283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19228 VENTURA BLVD STE A, Tarzana, CA 91356
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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 05D2203501

Vytal Surgical Institute · Tarzana, CA
Active · expires Dec 2, 2026
CLIA Number05D2203501
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDr. David Vahedi
Laboratory Phone(818) 578-5125
Laboratory LocationVytal Surgical Institute19228 Ventura Blvd Suite A, Tarzana, CA 91356
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 4

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

FARDIN HAKAKIAN DPM INC
Clinic/Center (Podiatric)
19228 VENTURA BLVD STE A
TARZANA, CA 91356
Los Angeles County (818) 578-5125
FRANK LAALY DDS INC
Dentist (Oral and Maxillofacial Surgery)
19228 VENTURA BLVD STE A
TARZANA, CA 91356
Los Angeles County (818) 578-5125
DR. FRANK LAALY DDS, FICOI
Dentist (Oral and Maxillofacial Surgery)
19228 VENTURA BLVD STE A
TARZANA, CA 91356
Los Angeles County (818) 578-5125
FARDIN HAKAKIAN DPM
Podiatrist
19228 VENTURA BLVD STE A
TARZANA, CA 91356
Los Angeles County (818) 578-5125

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 Vytal Surgical Institute Inc's NPI number?

The NPI number for Vytal Surgical Institute Inc is 1619502283. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Vytal Surgical Institute Inc located?

Vytal Surgical Institute Inc is located at 19228 Ventura Blvd Ste A, Tarzana, CA 91356. The listed phone number is (818) 578-5125.

What is Vytal Surgical Institute Inc's specialty?

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

Does Vytal Surgical Institute Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203501) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vytal Surgical Institute Inc was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.