BLUE WAVE SURGERY CENTER, INC.
NPI 1821362443
Clinic/Center - Ambulatory Surgical in Sherman Oaks, CA

Active since February 29, 2012
4910 VAN NUYS BLVD STE 306, SHERMAN OAKS, CA 91403(310) 622-5369 Get Directions Write a Review

NPPES record last updated: April 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Wave Surgery Center, Inc. NPPES

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

BLUE WAVE SURGERY CENTER, INC. (NPI 1821362443) is a healthcare organization registered as an ambulatory surgical in Sherman Oaks, California and active in the NPI registry since February 2012. The organization lists Alexander Sorokurs, President, as its authorized official.

NPPES Registry Identity

NPI1821362443
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLUE WAVE SURGERY CENTER, INC.
Location Address4910 VAN NUYS BLVD STE 306Sherman Oaks, CA 91403-1770
Mailing Address4910 Van Nuys Blvd Ste 306Sherman Oaks, CA 91403-1770 · (310) 622-5369
Organization SubpartYesParent: Blue Wave Surgery Center, Inc
Authorized OfficialAlexander SorokursPresident · (310) 622-5369
Enumeration DateFebruary 29, 2012
Last NPPES UpdateApril 17, 2012
NPI 1821362443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · A54193
Also ListedFamily MedicineTaxonomy 207Q00000X · License A54193 (CA)
4910 VAN NUYS BLVD STE 306, Sherman Oaks, CA 91403

Other Identifiers 1

Medicare PINPTAN DH485ZCA

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

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403
Clinic/Center (Ambulatory Surgical)
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403
Clinic/Center (Urgent Care)
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403
Clinic/Center (Ambulatory Surgical)
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403
Orthopaedic Surgery (Sports Medicine)
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403

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 Blue Wave Surgery Center, Inc.'s NPI number?

The NPI number for Blue Wave Surgery Center, Inc. is 1821362443. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Blue Wave Surgery Center, Inc. located?

Blue Wave Surgery Center, Inc. is located at 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403. The listed phone number is (310) 622-5369.

What is Blue Wave Surgery Center, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Wave Surgery Center, Inc. was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.