SHORELINE SURGERY CENTER, LLC
NPI 1386134062
Surgery in Long Beach, CA

NPI Status: Active since May 17, 2018

Contact Information

4300 LONG BEACH BLVD STE 150
LONG BEACH, CA
ZIP 90807
Phone: (562) 857-1928

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  • Organization
  • Surgery
  • CLIA Number: 05D2152734
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-15-2026

About SHORELINE SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Shoreline Surgery Center, Llc, a provider established in Long Beach, California operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1386134062 assigned on May 2018. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Shoreline Surgery Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lee Marek Do (Board Member)

NPI
1386134062
Provider Name
SHORELINE SURGERY CENTER, LLC
Entity Type
Organization
Location Address
4300 LONG BEACH BLVD STE 150 LONG BEACH, CA 90807
Location Phone
(562) 857-1928
Mailing Address
4300 LONG BEACH BLVD STE 150 LONG BEACH, CA 90807
Mailing Phone
(562) 857-1928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2018
Last Update Date
05-17-2018
Code Navigator

A surgeon like Shoreline Surgery Center, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

LEE MAREK DO

Authorized Official Title
BOARD MEMBER
Authorized Official Phone
(831) 588-7296

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.

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 25 times for 12 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
05D2152734
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 16, 2024
Certificate Expiration Date
August 15, 2026
Laboratory Director
ESSAM TAYMOUR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shoreline Surgery Center, Llc 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 1386134062, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 8 → 16 → 7 1 → 2 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 2 + 3 + 8 + 0 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1386134062.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
4300 LONG BEACH BLVD STE 150
LONG BEACH, CA 90807
Anesthesiology
4300 LONG BEACH BLVD STE 150
LONG BEACH, CA 90807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386134062, enumerated as an "organization" on May 17, 2018.

The provider is located at 4300 LONG BEACH BLVD STE 150 LONG BEACH, CA 90807 and the phone number is (562) 857-1928.

Surgery with taxonomy code 208600000X.