ON BEACH SURGERY CENTER
NPI 1003420001
Clinic/Center - Ambulatory Surgical in Buena Park, CA

NPI Status: Active since September 07, 2020

Contact Information

5832 BEACH BLVD
SUITE 210
BUENA PARK, CA
ZIP 90621
Phone: (714) 515-5300
Fax: (714) 515-5065

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2263089
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-21-2026

About ON BEACH SURGERY CENTER

This page provides the complete NPI Profile along with additional information for On Beach Surgery Center, a provider established in Buena Park, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1003420001 assigned on September 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Dr. Phillip Lim Do (Ceo)

NPI
1003420001
Provider Name
ON BEACH SURGERY CENTER
Entity Type
Organization
Location Address
5832 BEACH BLVD SUITE 210 BUENA PARK, CA 90621
Location Phone
(714) 515-5300
Location Fax
(714) 515-5065
Mailing Address
5832 BEACH BLVD UNIT 210 BUENA PARK, CA 90621
Mailing Phone
(714) 515-5300
Mailing Fax
(714) 515-5065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2020
Last Update Date
02-12-2026
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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

DR. PHILLIP LIM DO

Authorized Official Title
CEO
Authorized Official Phone
(714) 515-5300

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 37 times for 17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 41 times for 21 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 107 times for 37 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 150 times for 118 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 25 times for 21 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 24 times for 14 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

This service was performed 18 times for 18 patients

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
05D2263089
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 22, 2024
Certificate Expiration Date
June 21, 2026
Laboratory Director
PHILLIP LIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to On Beach 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003420001, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 8 + 2 + 0 + 0 + 0 + 24 = 39

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003420001.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003420001, enumerated as an "organization" on September 07, 2020.

The provider is located at 5832 BEACH BLVD SUITE 210 BUENA PARK, CA 90621 and the phone number is (714) 515-5300.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.