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SILICON BEACH MEDICAL CENTER INC
NPI 1366964330
Clinic/Center - Urgent Care in Los Angeles, CA

Active since July 12, 2017
5450 LINCOLN BLVD, LOS ANGELES, CA 90094(310) 305-9200(310) 305-2800 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2020, Apr 15, 2020, Jul 12, 2017 (3 updates tracked since 2017).

About Silicon Beach Medical Center Inc NPPES

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

SILICON BEACH MEDICAL CENTER INC (NPI 1366964330) is a healthcare organization registered as an urgent care in Los Angeles, California and active in the NPI registry since July 2017. The organization lists Young Sun Yi, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1366964330
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSILICON BEACH MEDICAL CENTER INC
Location Address5450 LINCOLN BLVDLos Angeles, CA 90094-2002
Mailing Address4712 Admiralty Way # 574Marina Del Rey, CA 90292-6905 · (310) 305-9200 · Fax (310) 305-2800
Phone(310) 305-9200
Fax(310) 305-2800
Organization SubpartNo
Authorized OfficialYoung Sun YiOwner/ceo · (310) 305-9200
Enumeration DateJuly 12, 2017
Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1366964330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5450 LINCOLN BLVD, Los Angeles, CA 90094
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Other Names 1

Doing Business AsSilicon Beach Medical Center Inc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Silicon Beach Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Silicon Beach Medical Center Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Vincent Bennett, MD
Emergency Medicine
NPI 1982650776
1300 N VERMONT AVE
Los Angeles, CA 90027
(323) 913-4892
✔ PECOS✔ Accepts Medicare12 mi
Casper Glenn, M.D.
Internal Medicine
NPI 1649315508
1052 WOODBURY DR
Harbor City, CA 90710
(310) 922-5054
✔ PECOS14 mi
Aram Bonni, M.D.
Obstetrics/Gynecology
NPI 1104859164
14550 HAYNES ST
Van Nuys, CA 91411
(657) 888-3008
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Silicon Beach Medical Center Inc's NPI number?

The NPI number for Silicon Beach Medical Center Inc is 1366964330. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is Silicon Beach Medical Center Inc located?

Silicon Beach Medical Center Inc is located at 5450 Lincoln Blvd, Los Angeles, CA 90094. The listed phone number is (310) 305-9200.

What is Silicon Beach Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Silicon Beach Medical Center Inc enrolled in Medicare?

Yes. Silicon Beach Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silicon Beach Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Silicon Beach Medical Center Inc, in Emergency Medicine, Internal Medicine and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Silicon Beach Medical Center Inc was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.