SILICON BEACH SURGERY CENTER INC (NPI# 1972025948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972025948 |
Entity Type | Organization |
Organization Name | SILICON BEACH SURGERY CENTER INC |
Other Organization Name | SILICON BEACH SURGERY CENTER INC |
Practice Address |
5450 Lincoln Blvd Playa Vista CA 90094-2002 |
Mailing Address |
13428 Maxella Ave # 527 Marina Del Rey CA 90292-5620 |
Practice Telephone | 3103059200 |
Practice Fax Number | 3103052800 |
Mailing Telephone | 3103059200 |
Mailing Fax Number | 3103052800 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |
Authorized Official Name | YOUNG SUN YI (CEO/PRESIDENT) |
Authorized Official Telephone | 3103059200 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Silicon Beach Surgery Center Inc | Doing Business As Name - Organization |
Street Address |
5450 LINCOLN BLVD |
City | PLAYA VISTA |
State | CA |
Zip Code | 90094-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104430669 | Pacific Medical Group | Surgery | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-09-02 |
1437784873 | Yeranui Stepanyan | Nurse Practitioner | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-03-05 |
1689100745 | Playa Medical Management LLC | Prevention Professional | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-05-11 |
1285168955 | Marina Nikiforova | Chiropractor | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-04-19 |
1760876783 | Rmpm Group Inc | Podiatrist | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2015-03-27 |
1649315508 | Casper Glenn | Personal Emergency Response Attendant | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225408586 | Merle Morgan | Acupuncturist | 12871 W. Runway Rd, Unit 1, Playa Vista, CA 90094 | 2015-09-30 |
1134518004 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 12746 W Jefferson Blvd, Ste 3160, Playa Vista, CA 90094 | 2015-01-15 |
1619170537 | Ivette Osorio | Speech-Language Pathologist | 13080 Pacific Promenade, #213, Playa Vista, CA 90094 | 2007-06-07 |
1033201363 | Nancy Lee Rosser | Psychiatry & Neurology | 200 S. Barrington Ave., 1907, Los Angeles, CA 90094 | 2006-09-28 |
1134570476 | Mahsa Eghbali | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2016-06-28 |
1871960708 | Cassandra Wong | Nurse Practitioner | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2015-08-26 |
1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
1225308729 | Stephanie Cohen | Social Worker | 13175 Fountain Park Dr, A-420, Playa Vista, CA 90094-2023 | 2011-12-31 |
1598711566 | Playa Physical Therapy | Clinic/Center | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2006-05-25 |
1790035632 | Terry Chu | Physical Therapist | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2012-09-19 |
Find all providers in zip 90094 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
Find all providers with the same taxonomy |
City | PLAYA VISTA |
Zip Code | 90094 |
Please comment or provide details below to improve the information on SILICON BEACH SURGERY CENTER INC.
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.