Active NPI
Beach Cities Orthopedics Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Manhattan Beach, CA
National Provider Identifier
1336669456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
400 S Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 546-3461
121 Gray Ave
Ste 301
Santa Barbara, CA 93101
Interoperability endpoints
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Manhattan Beach, CA
- NPI 1093822363
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
- Keith Robin Bayan, M.D.
- Bco Surgical Center, LLC
- Beach Cities Optometry, Inc.
- Beach Cities Orthopedics & Sports Medicine, Inc, a Medical Corporation
- Beach Cities Orthopedics and Sports Medicine
- Beach Cities Speech Therapy LLC
- Beach Life Chiropractic
- Beach Teeth
- Lisette Ann Beam, D.C.
- Joshua S Beaumont, ATC
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.