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

NPI Status: Active since February 29, 2012

Contact Information

4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA
ZIP 91403
Phone: (310) 622-5369

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical

About BLUE WAVE SURGERY CENTER, INC.

This page provides the complete NPI Profile along with additional information for Blue Wave Surgery Center, Inc., a provider established in Sherman Oaks, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1821362443 assigned on February 2012. The practitioner's primary taxonomy code is 261QA1903X with license number A54193 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Blue Wave Surgery Center, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Alexander Sorokurs M.d. (President)

NPI: 1821362443
Provider Name: BLUE WAVE SURGERY CENTER, INC.
Entity Type: Organization
Location Address: 4910 VAN NUYS BLVD STE 306 SHERMAN OAKS, CA 91403
Location Phone: (310) 622-5369
Mailing Address: 4910 VAN NUYS BLVD STE 306 SHERMAN OAKS, CA 91403
Mailing Phone: (310) 622-5369
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 02-29-2012
Last Update Date: 04-17-2012
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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: Clinic/Center Ambulatory Surgical
Taxonomy Code: 261QA1903X
Type: Ambulatory Health Care Facilities
License No.: A54193
License State: CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine	A54193 (CA)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: DR. ALEXANDER SOROKURS M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (310) 622-5369

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
PTAN DH485Z	MEDICARE PIN (08)	CA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	2	1	3	6	2	4	4	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	4	1	6	6	4	4	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 6 + 4 + 4 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1821362443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

BEVERLY OAKS URGENT CARE INC.

Clinic/Center

(Urgent Care)