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SILICON BEACH SURGERY CENTER INC
NPI 1972025948
Clinic/Center - Ambulatory Surgical in Playa Vista, CA

Active since July 12, 2017CLIA 05D2146908 · Waiver
5450 LINCOLN BLVD, PLAYA VISTA, CA 90094(310) 305-9200(310) 305-2800 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silicon Beach Surgery Center Inc NPPES

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

SILICON BEACH SURGERY CENTER INC (NPI 1972025948) is a healthcare organization registered as an ambulatory surgical in Playa Vista, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Young Sun Yi, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1972025948
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSILICON BEACH SURGERY CENTER INC
Location Address5450 LINCOLN BLVDPlaya Vista, CA 90094-2002
Mailing Address13428 Maxella Ave # 527Marina Del Rey, CA 90292-5620 · (310) 305-9200 · Fax (310) 305-2800
Phone(310) 305-9200
Fax(310) 305-2800
Organization SubpartNo
Authorized OfficialYoung Sun YiCeo/president · (310) 305-9200
Enumeration DateJuly 12, 2017
✔ NPI 1972025948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5450 LINCOLN BLVD, Playa Vista, CA 90094
Open in Google Maps ↗

Other Names 1

Doing Business AsSilicon Beach Surgery Center Inc

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 05D2146908

Silicon Beach Surgery Center Inc · Playa Vista, CA
Active · expires Apr 8, 2028
CLIA Number05D2146908
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorVincent Bennett
Laboratory Phone(910) 305-9200
Laboratory LocationSilicon Beach Surgery Center Inc5450 Lincoln Blvd, Playa Vista, CA 90094
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

PACIFIC MEDICAL GROUP
Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
DR. MARINA NIKIFOROVA D.C.
Chiropractor
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
ANTHONY SALVADOR
Nurse Practitioner (Family)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Los Angeles County (310) 305-9200
NEUROLOGY & PAIN MANAGEMENT SPECIALISTS INC
Neurological Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
SILICON BEACH MEDICAL CENTER INC
Clinic/Center (Urgent Care)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Los Angeles County (310) 305-9200
LAX MEDICAL GROUP, INC
Orthopaedic Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 867-5556
SHIELA MARIE DOMINGO FNP-BC
Nurse Practitioner
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
DR. CASPER GLENN M.D.
Personal Emergency Response Attendant
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200

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 Silicon Beach Surgery Center Inc's NPI number?

The NPI number for Silicon Beach Surgery Center Inc is 1972025948. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is Silicon Beach Surgery Center Inc located?

Silicon Beach Surgery Center Inc is located at 5450 Lincoln Blvd, Playa Vista, CA 90094. The listed phone number is (310) 305-9200.

What is Silicon Beach Surgery Center Inc's specialty?

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

Does Silicon Beach Surgery Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2146908) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Silicon Beach Surgery Center Inc was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.