BLUE WAVE SURGERY CENTER, INC. (NPI# 1821362443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821362443 |
| Entity Type | Organization |
| Organization Name | BLUE WAVE SURGERY CENTER, INC. |
| Practice Address |
4910 Van Nuys Blvd Ste 306 Sherman Oaks CA 91403-1770 |
| Practice Telephone | 3106225369 |
| Mailing Telephone | 3106225369 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-04-17 |
| Authorized Official Name | DR. ALEXANDER SOROKURS (PRESIDENT) |
| Authorized Official Telephone | 3106225369 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE WAVE SURGERY CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A54193 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A54193 | CA | Ambulatory Health Care Facilities |
| Street Address |
4910 VAN NUYS BLVD STE 306 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447446 | Select Surgery Center | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-11-05 |
| 1083211643 | Alpha Surgery Center LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-10-07 |
| 1619320942 | Total Health Surgery Center, LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2016-07-21 |
| 1609258565 | Beverly Oaks Urgent Care Inc. | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013458231 | Tatoyan Md Apc | Clinic/Center | 5651 Sepulveda Blvd Ste 103, Sherman Oaks, CA 91411-2954 | 2017-03-20 |
| 1184073884 | Radiance Surgery Center Inc | Clinic/Center | 5170 Sepulveda Blvd Ste 240, Sherman Oaks, CA 91403-1190 | 2016-06-03 |
| 1831569094 | Sherman Oaks Ambulatory Surgery Center | Clinic/Center | 4940 Van Nuys Blvd Ste 103, Sherman Oaks, CA 91403-1739 | 2015-09-30 |
| 1396054599 | Beverly Oaks Physicians Surgical Center, LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1715 | 2010-10-05 |
| 1306447446 | Select Surgery Center | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-11-05 |
| 1083211643 | Alpha Surgery Center LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-10-07 |
| 1063924017 | Radiance Surgery Center LLC | Clinic/Center | 5170 Sepulveda Blvd Ste 240, Sherman Oaks, CA 91403-1190 | 2017-10-31 |
| 1467903716 | Addison Asc LLC | Clinic/Center | 4955 Van Nuys Blvd, Suite 719, Sherman Oaks, CA 91403-1801 | 2016-10-21 |
| 1982157053 | First Choice Surgical Center, Inc. | Clinic/Center | 5651 Sepulveda Blvd, Suite 103, Sherman Oaks, CA 91411-2953 | 2016-07-25 |
| 1619320942 | Total Health Surgery Center, LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2016-07-21 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.