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PRESTIGE SURGICAL CENTER LLC
NPI 1902587637
Clinic/Center - Ambulatory Surgical in Tarzana, CA

Active since July 26, 2023CLIA 05D2293056 · Waiver
18425 BURBANK BLVD STE 105A, TARZANA, CA 91356(818) 774-2755 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prestige Surgical Center Llc NPPES

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

PRESTIGE SURGICAL CENTER LLC (NPI 1902587637) is a healthcare organization registered as an ambulatory surgical in Tarzana, California and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Ara Salazar, Manager, as its authorized official.

NPPES Registry Identity

NPI1902587637
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRESTIGE SURGICAL CENTER LLC
Location Address18425 BURBANK BLVD STE 105ATarzana, CA 91356-2806
Mailing AddressPo Box 16927Encino, CA 91416-6927 · (818) 774-2755 · Fax (818) 343-1677
Phone(818) 774-2755
Organization SubpartNo
Authorized OfficialAra SalazarManager · (818) 774-2755
Enumeration DateJuly 26, 2023
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1902587637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
18425 BURBANK BLVD STE 105A, Tarzana, CA 91356
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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 05D2293056

Prestige Surgical Center, LLC · Tarzana, CA
Active · expires Nov 1, 2027
CLIA Number05D2293056
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorHooman Shabatian
Laboratory Phone(818) 343-1401
Laboratory LocationPrestige Surgical Center, LLC18425 Burbank Blvd Ste 105A, Tarzana, CA 91356
CLIA data matches this NPI record on: Address Name
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 Prestige Surgical Center LLC's NPI number?

The NPI number for Prestige Surgical Center LLC is 1902587637. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Prestige Surgical Center LLC located?

Prestige Surgical Center LLC is located at 18425 Burbank Blvd Ste 105A, Tarzana, CA 91356. The listed phone number is (818) 774-2755.

What is Prestige Surgical Center LLC's specialty?

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

Does Prestige Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2293056) is associated with this NPI, valid through November 1, 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 Prestige Surgical Center LLC was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.