Organization Active NPI

Younique Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1083255616
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNIQUE SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Magdy Youssef, M.D.NPI 1225200637
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1317OtherCALICENSE

Other names 1

  • Younique Surgery Center Santa Monica Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

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.

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.

Verify at the official NPI Registry.