Beach Surgical Medical Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A255480 Issued in CA

Legal business name

BEACH SURGICAL MEDICAL CENTER LLC

Practice address

18080 Beach Blvd
Suite 101
Huntington Beach, CA 92648-1342

Phone

(714) 375-3779

Fax

(714) 375-3889

NPI assigned

Nov 14, 2007

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Domenic Signorelli, DPM

Title

Medical Director

Phone

(714) 539-2279

Specialties & licenses 1

Addresses

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.

• Robert Joseph II, DPM

  • Podiatrist
  • Beverly Hills, CA
  • NPI 1891876520
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1184805590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928421403",
            "telephone_number": "714-375-3779",
            "fax_number": "714-375-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481342",
            "telephone_number": "714-375-3779",
            "fax_number": "714-375-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SURGICAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "SIGNORELLI",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-539-2279",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A255480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Point Physical Therapy (Health Pro Wellness Center)
• Beach Pro Physical Medicine, Inc
• Beach Professional Pharmacy, Inc. (Beach Professional Pharmacy)
• Beach Street Rehab
• Beach Surgery Center Inc.
• Beachside Optometry Germundsen-Family Partnership
• Beachside Optometry Inc.
• Beachview Treatment, LLC
• Beachview Treatment, LLC
• Melanie C Bean, M.S.P.T., A.T.C.

• Multi-Specialty Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.