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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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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