VALLEY PLAZA SURGERY CENTER
NPI 1659157246
Clinic/Center - Ambulatory Surgical in N Hollywood, CA

NPI Status: Active since September 07, 2023

Contact Information

12134 VICTORY BLVD STE E
N HOLLYWOOD, CA
ZIP 91606
Phone: (818) 452-4625

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2297533
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-16-2028

About VALLEY PLAZA SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Valley Plaza Surgery Center, a provider established in N Hollywood, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1659157246 assigned on September 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Mitchell Rubin (Administrator)

NPI
1659157246
Provider Name
VALLEY PLAZA SURGERY CENTER
Entity Type
Organization
Location Address
12134 VICTORY BLVD STE E N HOLLYWOOD, CA 91606
Location Phone
(818) 452-4625
Mailing Address
12134 VICTORY BLVD STE E N HOLLYWOOD, CA 91606
Mailing Phone
(818) 452-4625
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2023
Last Update Date
09-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MITCHELL RUBIN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(818) 415-3205

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2297533
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 17, 2026
Certificate Expiration Date
January 16, 2028
Laboratory Director
ARCHIE MAYS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Valley Plaza Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659157246, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 2 + 5 + 1 + 4 + 2 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1659157246.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606
Clinic/Center (Ambulatory Surgical)
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606
Community/Behavioral Health
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659157246, enumerated as an "organization" on September 07, 2023.

The provider is located at 12134 VICTORY BLVD STE E N HOLLYWOOD, CA 91606 and the phone number is (818) 452-4625.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.