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PIVAC ASC LLC
NPI 1679010417
Clinic/Center - Ambulatory Surgical in Culver City, CA

Active since January 31, 2017CLIA 05D2137660 · Waiver
6076 BRISTOL PKWY, SUITE 108, CULVER CITY, CA 90230(310) 348-9604 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2025, Jan 31, 2017 (2 updates tracked since 2017).

About Pivac Asc Llc NPPES

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

PIVAC ASC LLC (NPI 1679010417) is a healthcare organization registered as an ambulatory surgical in Culver City, California and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Spencer L. Brown, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679010417
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePIVAC ASC LLC
Location Address6076 BRISTOL PKWY, SUITE 108Culver City, CA 90230-6600
Mailing Address40 Valley Stream Pkwy, Suite 100Malvern, PA 19355-1407
Phone(310) 348-9604
Organization SubpartNo
Authorized OfficialSpencer L. BrownMedical Director · (310) 348-9604
Enumeration DateJanuary 31, 2017
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1679010417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6076 BRISTOL PKWY, Culver City, CA 90230
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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 05D2137660

Pivac ASC, LLC · Culver City, CA
Active · expires Oct 1, 2027
CLIA Number05D2137660
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBrown, Spencer, MD Brown, Spencer, MD
Laboratory Phone(310) 348-9604
Laboratory LocationPivac ASC, LLC6076 Bristol Pkwy Ste 108, Culver City, CA 90230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
456 services210 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
40 services38 patients
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903
This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.
37 services35 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
24 services15 patients
Creation of artery-vein connection using tube graft for hemodialysis 36830
This procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.
23 services23 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906
This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.
21 services18 patients

Other Providers at the Same Location NPPES 7

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

MRS. KATHLYN FORTUNE MS CCC-SLP
Speech-Language Pathologist
6076 BRISTOL PKWY, STE 105
CULVER CITY, CA 90230
Los Angeles County (310) 642-7700
CHELSEA M CARTER BCBA
Behavior Analyst
6076 BRISTOL PKWY
CULVER CITY, CA 90230
Los Angeles County (714) 510-6943
MISS KANYINSOLA ADENIKE BANIGO CCC-SLP
Behavior Analyst
6076 BRISTOL PKWY
CULVER CITY, CA 90230
Los Angeles County (832) 279-5337
DR. ANDREA FINKELSTEIN SHERMAN OTD, OTR/L
Occupational Therapist (Pediatrics)
6076 BRISTOL PKWY, SUITE 105
CULVER CITY, CA 90230
Los Angeles County (310) 642-7700
MARIA LUCAS
Occupational Therapist
6076 BRISTOL PKWY, SUITE 105
CULVER CITY, CA 90230
Los Angeles County (714) 834-1111
ACCORD HOME HEALTH SERVICES INC
Home Health
6076 BRISTOL PKWY, SUITE 202
CULVER CITY, CA 90230
Los Angeles County (310) 338-7160
CAROL SUZUKI
Occupational Therapist
6076 BRISTOL PKWY, SUITE 105
CULVER CITY, CA 90230
Los Angeles County (562) 547-1590

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 Pivac ASC LLC's NPI number?

The NPI number for Pivac ASC LLC is 1679010417. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is Pivac ASC LLC located?

Pivac ASC LLC is located at 6076 Bristol Pkwy Suite 108, Culver City, CA 90230. The listed phone number is (310) 348-9604.

What is Pivac ASC LLC's specialty?

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

Does Pivac ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2137660) is associated with this NPI, valid through October 1, 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 Pivac ASC LLC was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.