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

Active since May 17, 2018CLIA 05D2152734 · Waiver
4300 LONG BEACH BLVD STE 150, LONG BEACH, CA 90807(562) 857-1928 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoreline Surgery Center, Llc NPPES

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

SHORELINE SURGERY CENTER, LLC (NPI 1386134062) is a healthcare organization registered as a surgery in Long Beach, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Lee Marek, Board Member, as its authorized official.

NPPES Registry Identity

NPI1386134062
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSHORELINE SURGERY CENTER, LLC
Location Address4300 LONG BEACH BLVD STE 150Long Beach, CA 90807-2016
Mailing Address4300 Long Beach Blvd Ste 150Long Beach, CA 90807-2016 · (562) 857-1928
Phone(562) 857-1928
Organization SubpartNo
Authorized OfficialLee MarekBoard Member · (831) 588-7296
Enumeration DateMay 17, 2018
✔ NPI 1386134062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
4300 LONG BEACH BLVD STE 150, Long Beach, CA 90807
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2152734

Shoreline Surgery Center LLC · Long Beach, CA
Active · expires Aug 15, 2026
CLIA Number05D2152734
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorEssam Taymour
Laboratory Phone(562) 222-8764
Laboratory LocationShoreline Surgery Center LLC4300 Long Beach Blvd Ste 150, Long Beach, CA 90807
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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 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.
20 services12 patients

Other Providers at the Same Location NPPES 2

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

PALM ANESTHESIA, PC
Anesthesiology
4300 LONG BEACH BLVD STE 150
LONG BEACH, CA 90807
Los Angeles County (562) 355-6629
SOUTH BAY SURGICAL AND SPINE INSTITUTE
Clinic/Center (Ambulatory Surgical)
4300 LONG BEACH BLVD STE 150
LONG BEACH, CA 90807
Los Angeles County (562) 728-0230

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 Shoreline Surgery Center, LLC's NPI number?

The NPI number for Shoreline Surgery Center, LLC is 1386134062. It was assigned to this organization in the NPPES registry on May 17, 2018.

Where is Shoreline Surgery Center, LLC located?

Shoreline Surgery Center, LLC is located at 4300 Long Beach Blvd Ste 150, Long Beach, CA 90807. The listed phone number is (562) 857-1928.

What is Shoreline Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Shoreline Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2152734) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shoreline Surgery Center, LLC was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.