SHERMAN OAKS AMBULATORY SURGERY CENTER
NPI 1831569094
Clinic/Center - Ambulatory Surgical in Sherman Oaks, CA

NPI Status: Active since September 30, 2015

Contact Information

4940 VAN NUYS BLVD STE 103
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 990-9074
Fax: (818) 990-9076

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2113090
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-15-2026

About SHERMAN OAKS AMBULATORY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Sherman Oaks Ambulatory Surgery Center, a provider established in Sherman Oaks, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1831569094 assigned on September 2015. 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 Mehras Akhavan M.d. (President)

NPI
1831569094
Provider Name
SHERMAN OAKS AMBULATORY SURGERY CENTER
Entity Type
Organization
Location Address
4940 VAN NUYS BLVD STE 103 SHERMAN OAKS, CA 91403
Location Phone
(818) 990-9074
Location Fax
(818) 990-9076
Mailing Address
4940 VAN NUYS BLVD STE 103 SHERMAN OAKS, CA 91403
Mailing Phone
(818) 990-9074
Mailing Fax
(818) 990-9076
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2015
Last Update Date
09-30-2015
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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

MEHRAS AKHAVAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 990-9074

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
05D2113090
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 16, 2024
Certificate Expiration Date
May 15, 2026
Laboratory Director
MEHRAS AKHAVAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sherman Oaks Ambulatory Surgery Center 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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831569094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286110618018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1831569094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831569094, enumerated in the NPI registry as an "organization" on September 30, 2015

The provider is located at 4940 Van Nuys Blvd Ste 103 Sherman Oaks, Ca 91403 and the phone number is (818) 990-9074

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 05D2113090 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on September 30, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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