1. Home
  2. Directory
  3. California
  4. Santa Monica
  5. Clinic Center
  6. NPI Profile

PACIFIC SURGERY CENTER OF SANTA MONICA
NPI 1689795312
Clinic/Center - Ambulatory Surgical in Santa Monica, CA

Active since April 02, 2007CLIA 05D2101523 · Waiver
2021 SANTA MONICA BLVD, SUITE 724E, SANTA MONICA, CA 90404(310) 829-9060(310) 829-9015 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific Surgery Center Of Santa Monica NPPES

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

PACIFIC SURGERY CENTER OF SANTA MONICA (NPI 1689795312) is a healthcare organization registered as an ambulatory surgical in Santa Monica, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Cynthia A. Boxrud, Director, as its authorized official.

NPPES Registry Identity

NPI1689795312
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP INC
Location Address2021 SANTA MONICA BLVD, SUITE 724ESanta Monica, CA 90404-2208
Mailing Address2021 Santa Monica Blvd Ste 724eSanta Monica, CA 90404-2170 · (310) 829-9060 · Fax (310) 829-9015
Phone(310) 829-9060
Fax(310) 829-9015
Organization SubpartNo
Authorized OfficialCynthia A. BoxrudDirector · (310) 829-9060
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 2, 2010
✔ NPI 1689795312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · S051575
2021 SANTA MONICA BLVD, Santa Monica, CA 90404
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Surgery Center Of Santa Monica

Other Identifiers 1

Medicare PINS051575CA

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 05D2101523

Pacific Surgery Center Of Santa Monica · Santa Monica, CA
Active · expires Feb 7, 2027
CLIA Number05D2101523
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorCynthia A. Boxrud, MD
Laboratory Phone(310) 829-9060
Laboratory LocationPacific Surgery Center Of Santa Monica2021 Santa Monica Blvd Ste 724E, Santa Monica, CA 90404
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 2

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.

Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
12 services12 patients
Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
11 services11 patients

Other Providers at the Same Location NPPES 20

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

ORTHOPROS INC
Prosthetic/Orthotic Supplier
2021 SANTA MONICA BLVD, STE 104E
SANTA MONICA, CA 90404
Los Angeles County (310) 828-7485
DR. RICHARD LLWELLYN TAW JR. M.D.
Specialist
2021 SANTA MONICA BLVD, STE 212E
SANTA MONICA, CA 90404
Los Angeles County (310) 829-4327
SURGICAL ASSOCIATES OF SANTA MONICA A MEDICAL GROUP
Surgery
2021 SANTA MONICA BLVD, STE 625 EAST
SANTA MONICA, CA 90404
Los Angeles County (310) 453-8838
TERRI L ROCK M.D.
Family Medicine (Adult Medicine)
2021 SANTA MONICA BLVD, SUITE 335 EAST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-7625
AMORNCHIT SRIKUREJA M.D.
Internal Medicine
2021 SANTA MONICA BLVD, SUITE 540E
SANTA MONICA, CA 90404
Los Angeles County (310) 828-9501
MICHAEL LEVI D.P.M.
Podiatrist
2021 SANTA MONICA BLVD, SUITE 304E
SANTA MONICA, CA 90404
Los Angeles County (310) 829-3636
DR. ELLIE J.C. GOLDSTEIN M.D.
Internal Medicine (Infectious Disease)
2021 SANTA MONICA BLVD, 740E
SANTA MONICA, CA 90404
Los Angeles County (310) 315-1511
MICHAEL EDWARD GOLD MD
Psychiatry & Neurology (Neurology)
2021 SANTA MONICA BLVD, SUITE 525E
SANTA MONICA, CA 90404
Los Angeles County (310) 829-2126

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 Pacific Palisades Surgery Center And Medical Group Inc's NPI number?

The NPI number for Pacific Palisades Surgery Center And Medical Group Inc is 1689795312. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Pacific Palisades Surgery Center And Medical Group Inc located?

Pacific Palisades Surgery Center And Medical Group Inc is located at 2021 Santa Monica Blvd Suite 724E, Santa Monica, CA 90404. The listed phone number is (310) 829-9060.

What is Pacific Palisades Surgery Center And Medical Group Inc's specialty?

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

Does Pacific Palisades Surgery Center And Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2101523) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Palisades Surgery Center And Medical Group Inc was last updated on February 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.