Organization Active NPI

Beach Cities Orthopedics Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1336669456
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC
Practice address
400 S Sepulveda Blvd Ste 110
Manhattan Beach, CA 90266-6814
Phone
(310) 798-6488
Fax
(310) 546-6481
NPI assigned
Jun 20, 2017
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Jeremy Church
Title
Cfo
Phone
(323) 442-8747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

400 S Sepulveda Blvd Ste 110
Manhattan Beach, CA 90266-6814

Mailing address

121 Gray Ave Ste 301
Santa Barbara, CA 93101-1800
Phone (888) 282-7472

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009001790 CA Part B Supplier - Ambulatory Surgical Center 9234404765 Practice locations: Manhattan Beach, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Beach Cities Orthopedics Surgery Center LLCCCN 05C0002178
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

400 S Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 546-3461

121 Gray Ave
Ste 301
Santa Barbara, CA 93101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18286/brand/1/csg/1/fhir/r4

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1336669456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRAY AVE STE 301",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011800",
            "telephone_number": "888-282-7472",
            "fax_number": "805-679-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "310-798-6488",
            "fax_number": "310-546-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-442-8747"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.