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CROSSSAV SURGICAL CENTER INC
NPI 1942006960
Clinic/Center - Ambulatory Surgical in Victorville, CA

Active since February 20, 2025CLIA 05D2338246 · Waiver
15030 7TH ST, VICTORVILLE, CA 92395(818) 577-9082 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crosssav Surgical Center Inc NPPES

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

CROSSSAV SURGICAL CENTER INC (NPI 1942006960) is a healthcare organization registered as an ambulatory surgical in Victorville, California and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Hany Malek, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942006960
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCROSSSAV SURGICAL CENTER INC
Location Address15030 7TH STVictorville, CA 92395-3811
Mailing Address4830 La Montana CirTarzana, CA 91356-4818 · (818) 577-9082
Phone(818) 577-9082
Organization SubpartNo
Authorized OfficialHany MalekCeo · (818) 577-9082
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1942006960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
15030 7TH ST, Victorville, CA 92395
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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 05D2338246

Crosssav Surgical Center Inc · Victorville, CA
Active · expires Feb 5, 2028
CLIA Number05D2338246
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorChauvapun Jae
Laboratory Phone(818) 518-6464
Laboratory LocationCrosssav Surgical Center Inc15030 7th Street, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

WILLIAM DAVID SUVAL M.D.,F.A.C.S
Specialist
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065
TAUSHA BOLIN FNP-BC
Nurse Practitioner (Family)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065
DR. JASON TODD CHIRIANO D.O.
Surgery (Vascular Surgery)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (609) 510-0657
MR. PHONG THANH DARGON M.D.
Surgery (Vascular Surgery)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065
NICOLE RAY
Nurse Practitioner (Family)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065
TIGRAN KARAMANUKYAN M.D.
Surgery (Vascular Surgery)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065
RIANA LEAKE CHAGOURY M.A.
Psychologist
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (833) 438-8763
SUTTATIP VECHVITVARAKUL MD
Surgery (Vascular Surgery)
15030 7TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 951-0065

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 Crosssav Surgical Center Inc's NPI number?

The NPI number for Crosssav Surgical Center Inc is 1942006960. It was assigned to this organization in the NPPES registry on February 20, 2025.

Where is Crosssav Surgical Center Inc located?

Crosssav Surgical Center Inc is located at 15030 7th St, Victorville, CA 92395. The listed phone number is (818) 577-9082.

What is Crosssav Surgical Center Inc's specialty?

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

Does Crosssav Surgical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2338246) is associated with this NPI, valid through February 5, 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 Crosssav Surgical Center Inc was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.