ADVANCED SPECIALTY SURGICAL CENTER, LLC
NPI 1740655232
Clinic/Center - Ambulatory Surgical in Oxnard, CA
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2196617
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 10-18-2026
About ADVANCED SPECIALTY SURGICAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Advanced Specialty Surgical Center, Llc, a provider established in Oxnard, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1740655232 assigned on December 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Paul Johnson M.d. (Medical Director)
- NPI
- 1740655232 Verify this NPI
- Provider Name
- ADVANCED SPECIALTY SURGICAL CENTER, LLC
- Entity Type
- Organization
- Location Address
- 625 N A ST SUITE 300 OXNARD, CA 93030
- Location Phone
- (805) 351-5517
- Location Fax
- (805) 351-5523
- Mailing Address
- 7230 MEDICAL CENTER DR WEST HILLS, CA 91307
- Mailing Phone
- (818) 348-7246
- Mailing Fax
- (818) 348-7248
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2015
- Last Update Date
- 04-14-2016
- Code Navigator
Location Map
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
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
- 05D2196617
- Facility Type
- Practitioner Other
- Certificate Effective Date
- October 19, 2024
- Certificate Expiration Date
- October 18, 2026
- Laboratory Director
- SANJAY LOGANI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Specialty Surgical Center, Llc 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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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
OXNARD, CA 93030
OXNARD, CA 93030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740655232, enumerated as an "organization" on December 09, 2015.
The provider is located at 625 N A ST SUITE 300 OXNARD, CA 93030 and the phone number is (805) 351-5517.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
