CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO
NPI 1699189894
Clinic/Center - Ambulatory Surgical in Glendale, CA

Active since June 16, 2014CLIA 05D2097792 · Waiver
503 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203(818) 265-9499 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Surgical Center Pc A California Professional Medical Co NPPES

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

CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO (NPI 1699189894) is a healthcare organization registered as an ambulatory surgical in Glendale, California and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Michael Tahery, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699189894
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO
Location Address503 N CENTRAL AVE, SUITE 201Glendale, CA 91203-1901
Mailing Address503 N Central Ave, Suite 201Glendale, CA 91203-1901
Organization SubpartNo
Authorized OfficialMichael TaheryMedical Director · (818) 265-9499
Enumeration DateJune 16, 2014
NPI 1699189894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
503 N CENTRAL AVE, Glendale, CA 91203

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 05D2097792

Central Surgical Center · Glendale, CA
Active · expires Jun 23, 2027
CLIA Number05D2097792
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorMichael Tahery, MD
Laboratory Phone(818) 265-9499
Laboratory LocationCentral Surgical Center503 N Central Ave, Glendale, CA 91203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Central Surgical Center PC A California Professional Medical Co's NPI number?

The NPI number for Central Surgical Center PC A California Professional Medical Co is 1699189894. It was assigned to this organization in the NPPES registry on June 16, 2014.

Where is Central Surgical Center PC A California Professional Medical Co located?

Central Surgical Center PC A California Professional Medical Co is located at 503 N Central Ave Suite 201, Glendale, CA 91203. The listed phone number is (818) 265-9499.

What is Central Surgical Center PC A California Professional Medical Co's specialty?

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

Does Central Surgical Center PC A California Professional Medical Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2097792) is associated with this NPI, valid through June 23, 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 Central Surgical Center PC A California Professional Medical Co was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.