Active NPI
Younique Surgery Center
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- YOUNIQUE SURGERY CENTER
- Practice address
- 1317 5TH St Ste 301
Santa Monica, CA 90401-1459 - Phone
- (310) 434-0099
- Fax
- (714) 464-2222
- NPI assigned
- Oct 4, 2019
- Last updated
- Jun 11, 2020
- Organization subpart
- Yes
- Parent organization
- YOUNIQUE SURGERY CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Magdy Youssef, M.D.
- Title
- Owner Managing Employee
- Phone
- (310) 434-0044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1317 5TH St Ste 301
Santa Monica, CA 90401-1459
Mailing address
1317 5TH St Ste 300
Santa Monica, CA 90401-1433
Phone (310) 434-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1317 | Other | CA | LICENSE |
Other names 1
- Younique Surgery Center Santa Monica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200526002874 | CA | Part B Supplier - Ambulatory Surgical Center | 1759702996 |
1 other NPI on this enrollment Practice locations: Santa Monica, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
- NPI 1649584236
O20200526002874
National Provider Directory
National Provider Directory- Part of
- Younique Surgery Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
- NPI 1649584236
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Santa Monica, CA
- NPI 1225200637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1083255616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 5TH ST STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011433",
"telephone_number": "310-434-0099",
"fax_number": "714-464-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 5TH ST STE 301",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011459",
"telephone_number": "310-434-0099",
"fax_number": "714-464-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNIQUE SURGERY CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YOUNIQUE SURGERY CENTER",
"enumeration_date": "2019-10-04",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "YOUSSEF",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "MAGDY",
"authorized_official_title_or_position": "OWNER MANAGING EMPLOYEE",
"authorized_official_telephone_number": "310-434-0044",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1317",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Younique Surgery Center Santa Monica",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Younique Surgery Center Santa Monica",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.