SACRAMENTO CHILDREN'S SURGERY CENTER, LLC
NPI 1710842943
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since December 19, 2025CLIA 05D2343055 · Waiver
12620 VENTURA BLVD, STE. 800, ENCINO, CA 84088(818) 814-9800 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sacramento Children's Surgery Center, Llc NPPES

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

SACRAMENTO CHILDREN'S SURGERY CENTER, LLC (NPI 1710842943) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Jeffery Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710842943
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSACRAMENTO CHILDREN'S SURGERY CENTER, LLC
Location Address12620 VENTURA BLVD, STE. 800Encino, CA 84088-9274
Mailing Address8977 S 1300 W Ste 475West Jordan, UT 84088-9274
Organization SubpartNo
Authorized OfficialJeffery WheelerCeo · (301) 494-3000
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 18, 2025
NPI 1710842943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12620 VENTURA BLVD, Encino, CA 84088

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 05D2343055

Sacramento Children's Surgery Center, LLC · Encino, CA
Active · expires Apr 29, 2028
CLIA Number05D2343055
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorJames L. Walters
Laboratory Phone(818) 814-9800
Laboratory LocationSacramento Children's Surgery Center, LLC16260 Ventura Blvd, Suite 800, Encino, CA 91436
CLIA data matches this NPI record on: 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 Sacramento Children's Surgery Center, LLC's NPI number?

The NPI number for Sacramento Children's Surgery Center, LLC is 1710842943. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Sacramento Children's Surgery Center, LLC located?

Sacramento Children's Surgery Center, LLC is located at 12620 Ventura Blvd Ste. 800, Encino, CA 84088. The listed phone number is (818) 814-9800.

What is Sacramento Children's Surgery Center, LLC's specialty?

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

Does Sacramento Children's Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2343055) is associated with this NPI, valid through April 29, 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 Sacramento Children's Surgery Center, LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.