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

Q: What is On Beach Surgery Center's NPI number?

The NPI number for On Beach Surgery Center is 1003420001. It was assigned to this organization in the NPPES registry on September 7, 2020.

Q: What is On Beach Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since September 07, 2020CLIA 05D2263089 · Waiver

5832 BEACH BLVD, SUITE 210, BUENA PARK, CA 90621(714) 515-5300(714) 515-5065 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2020, Sep 7, 2020 (2 updates tracked since 2020).

On this page

About On Beach Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ON BEACH SURGERY CENTER (NPI 1003420001) is a healthcare organization registered as an ambulatory surgical in Buena Park, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Phillip Lim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003420001

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameON BEACH SURGERY CENTER

Location Address5832 BEACH BLVD, SUITE 210Buena Park, CA 90621

Mailing Address5832 Beach Blvd Unit 210Buena Park, CA 90621-5501 · (714) 515-5300 · Fax (714) 515-5065

Phone(714) 515-5300

Fax(714) 515-5065

Organization SubpartNo

Authorized OfficialPhillip LimCeo · (714) 515-5300

Enumeration DateSeptember 7, 2020

Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1003420001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

5832 BEACH BLVD, Buena Park, CA 90621

Open in Google Maps ↗

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 05D2263089

On Beach Surgery Center, LLC · Buena Park, CA

Active · expires Jun 21, 2028

CLIA Number05D2263089

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorPhillip Lim

Laboratory Phone(714) 515-5300

Laboratory LocationOn Beach Surgery Center, LLC5832 Beach Blvd, Ste 210, Buena Park, CA 90621

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of substance into lower spine canal using imaging guidance 62323

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.

126 services91 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

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.

51 services20 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

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.

43 services21 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

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.

25 services13 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

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.

23 services18 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

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.

23 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SO H KIM

Pharmacy

5832 BEACH BLVD
BUENA PARK, CA 90621

Orange County (714) 852-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is On Beach Surgery Center's NPI number?

The NPI number for On Beach Surgery Center is 1003420001. It was assigned to this organization in the NPPES registry on September 7, 2020.

Where is On Beach Surgery Center located?

On Beach Surgery Center is located at 5832 Beach Blvd Suite 210, Buena Park, CA 90621. The listed phone number is (714) 515-5300.

What is On Beach Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does On Beach Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2263089) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for On Beach Surgery Center was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.