VALHALLA SURGERY CENTER, LLC
NPI 1811652035
Clinic/Center - Ambulatory Surgical in San Luis Obispo, CA

Q: What is Valhalla Surgery Center, LLC's NPI number?

The NPI number for Valhalla Surgery Center, LLC is 1811652035. It was assigned to this organization in the NPPES registry on November 2, 2021.

Q: What is Valhalla Surgery Center, LLC's specialty?

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

Active since November 02, 2021CLIA 05D2290218 · Waiver

4472 BROAD ST STE 150, SAN LUIS OBISPO, CA 93401(805) 364-8450 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Dec 14, 2021, Nov 2, 2021 (3 updates tracked since 2021).

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About Valhalla Surgery Center, Llc NPPES

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

VALHALLA SURGERY CENTER, LLC (NPI 1811652035) is a healthcare organization registered as an ambulatory surgical in San Luis Obispo, California and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Ralph Mozingo, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1811652035

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameVALHALLA SURGERY CENTER, LLC

Location Address4472 BROAD ST STE 150San Luis Obispo, CA 93401-7990

Mailing AddressPo Box 2140Edmond, OK 73083-2140

Phone(805) 364-8450

Organization SubpartNo

Authorized OfficialRalph MozingoAuthorized Official · (805) 563-0363

Enumeration DateNovember 2, 2021

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1811652035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

4472 BROAD ST STE 150, San Luis Obispo, CA 93401

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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 05D2290218

Valhalla Surgery Center · San Luis Obispo, CA

Active · expires Sep 20, 2027

CLIA Number05D2290218

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 21, 2025

Certificate Expiration DateSeptember 20, 2027

Laboratory DirectorRalph Mozingo

Laboratory Phone(805) 215-1160

Laboratory LocationValhalla Surgery Center4472 Broad St Suite 150, San Luis Obispo, CA 93401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

314 services109 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

223 services109 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

198 services126 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

196 services69 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

132 services77 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

101 services54 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

76 services73 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

75 services23 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

44 services22 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

41 services38 patients

Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405

This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.

21 services12 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

20 services19 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

17 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

14 services12 patients

Other Providers at the Same Location NPPES 2

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

ABROMS DOUGHERTY VISION ASC LLC

Clinic/Center (Ambulatory Surgical)

4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 548-1051

PACIFIC SURGERY CENTER OF SAN LUIS OBISPO, LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (818) 348-7246

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 Valhalla Surgery Center, LLC's NPI number?

The NPI number for Valhalla Surgery Center, LLC is 1811652035. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Valhalla Surgery Center, LLC located?

Valhalla Surgery Center, LLC is located at 4472 Broad St Ste 150, San Luis Obispo, CA 93401. The listed phone number is (805) 364-8450.

What is Valhalla Surgery Center, LLC's specialty?

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

Does Valhalla Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2290218) is associated with this NPI, valid through September 20, 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 Valhalla Surgery Center, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.