Silicon Beach Medical Center Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SILICON BEACH MEDICAL CENTER INC

Practice address

5450 Lincoln Blvd
Los Angeles, CA 90094-2002

Phone

(310) 305-9200

Fax

(310) 305-2800

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Young Sun Yi, MD

Title

Owner/Ceo

Phone

(310) 305-9200

Specialties & licenses 1

Addresses

Other names 1

• Silicon Beach Medical Center Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent J Bennett, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1982650776
  Medicare reassignment NPD
• Aram Bonni, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Van Nuys, CA
  • NPI 1104859164
  Medicare reassignment NPD
• Casper Glenn, M.D.

  • Personal Emergency Response Attendant
  • Harbor City, CA
  • NPI 1649315508
  Medicare reassignment NPD
• Gladys Anne Happer, NP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1912160623
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1366964330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY # 574",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-305-9200",
            "fax_number": "310-305-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 LINCOLN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900942002",
            "telephone_number": "310-305-9200",
            "fax_number": "310-305-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON BEACH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-305-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silicon Beach Medical Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deseray Sileo, MD
• Deborah Ann Siler
• Korey Siler
• Anaar Eastoak Siletz, M.D., PH. D.
• Carmen G Silicato, RPH
• Silicon Beach Outpatient Center, LLC
• Fabiola Silis, RN
• Murray Sean Silk
• Silka Enterprises Inc
• Michael J. Silka, M.D.

• Urgent Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.