CENTURION SURGICAL CENTER, INC
NPI 1801346309
Clinic/Center - Ambulatory Surgical in Agoura Hills, CA

Active since October 07, 2016CLIA 05D2118541 · Waiver
30200 AGOURA RD, SUITE 160, AGOURA HILLS, CA 91301(818) 597-1278(818) 597-1287 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2118541
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-22-2027

About CENTURION SURGICAL CENTER, INC

This page provides the complete NPI Profile along with additional information for Centurion Surgical Center, Inc, a provider established in Agoura Hills, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1801346309 assigned on October 2016. 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 Kapil K Moza M.d. (Ceo/medical Director)

NPI
1801346309 Verify this NPI
Provider Name
CENTURION SURGICAL CENTER, INC
Entity Type
Organization
Location Address
30200 AGOURA RD SUITE 160 AGOURA HILLS, CA 91301
Location Phone
(818) 597-1278
Location Fax
(818) 597-1287
Mailing Address
30200 AGOURA RD SUITE 160 AGOURA HILLS, CA 91301
Mailing Phone
(818) 597-1278
Mailing Fax
(818) 597-1287
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2016
Last Update Date
10-07-2016
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAPIL K MOZA M.D.

Authorized Official Title
CEO/MEDICAL DIRECTOR
Authorized Official Phone
(818) 597-1278

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
05D2118541
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 23, 2025
Certificate Expiration Date
May 22, 2027
Laboratory Director
KAPIL MOZA, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centurion Surgical Center, Inc 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 4 providers are registered at the same or a nearby location.

Dentist
30200 AGOURA RD, SUITE 270
AGOURA HILLS, CA 91301
Acupuncturist
30200 AGOURA RD, 130
AGOURA HILLS, CA 91301
Psychologist (Clinical)
30200 AGOURA RD, SUITE 190
AGOURA HILLS, CA 91301
Dentist (General Practice)
30200 AGOURA RD
AGOURA HILLS, CA 91301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801346309, enumerated as an "organization" on October 07, 2016.

The provider is located at 30200 AGOURA RD SUITE 160 AGOURA HILLS, CA 91301 and the phone number is (818) 597-1278.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.