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

Active since September 07, 2023CLIA 05D2297533 · Waiver
12134 VICTORY BLVD STE E, N HOLLYWOOD, CA 91606(818) 452-4625 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valley Plaza Surgery Center NPPES

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

VALLEY PLAZA SURGERY CENTER (NPI 1659157246) is a healthcare organization registered as an ambulatory surgical in N Hollywood, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Mitchell Rubin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659157246
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVALLEY PLAZA SURGERY CENTER
Location Address12134 VICTORY BLVD STE EN Hollywood, CA 91606-3205
Mailing Address12134 Victory Blvd Ste EN Hollywood, CA 91606-3205 · (818) 452-4625
Phone(818) 452-4625
Organization SubpartNo
Authorized OfficialMitchell RubinAdministrator · (818) 415-3205
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1659157246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12134 VICTORY BLVD STE E, N Hollywood, CA 91606
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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 05D2297533

Valley Plaza Surgery Center · North Hollywood, CA
Active · expires Jan 16, 2028
CLIA Number05D2297533
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorArchie Mays
Laboratory Phone(844) 772-4752
Laboratory LocationValley Plaza Surgery Center12134 Victory Blvd, Ste E, North Hollywood, CA 91606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NORTH HOLLYWOOD SURGERY CENTER, A CALIFORNIA CORPORATION
Clinic/Center (Ambulatory Surgical)
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606
Los Angeles County (844) 772-4752
NOHO WEST SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 452-4625
MINDFUL RECOVERY LLC
Community/Behavioral Health
12134 VICTORY BLVD STE E
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 762-8702

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 Valley Plaza Surgery Center's NPI number?

The NPI number for Valley Plaza Surgery Center is 1659157246. It was assigned to this organization in the NPPES registry on September 7, 2023.

Where is Valley Plaza Surgery Center located?

Valley Plaza Surgery Center is located at 12134 Victory Blvd Ste E, N Hollywood, CA 91606. The listed phone number is (818) 452-4625.

What is Valley Plaza Surgery Center's specialty?

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

Does Valley Plaza Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2297533) is associated with this NPI, valid through January 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 Valley Plaza Surgery Center was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.