Active NPI
Silverlake Virgil Surgery Center
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SILVERLAKE VIRGIL SURGERY CENTER
- Practice address
- 3367 W 1St St Ste 204
Los Angeles, CA 90004-6080 - Phone
- (213) 483-4246
- Fax
- (213) 483-7257
- NPI assigned
- Sep 21, 2019
- Last updated
- Aug 10, 2023
- 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
- Thomas D Lim, DPM
- Title
- Medical Director
- Phone
- (213) 483-4246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3367 W 1St St Ste 204
Los Angeles, CA 90004-6080
Mailing address
3367 W 1St St Ste 204
Los Angeles, CA 90004-6080
Phone (213) 483-4246
National Provider Directory
National Provider DirectoryLocations
3367 W 1st St
#204
Los Angeles, CA 90004
Phone (213) 483-4246
Practitioners & affiliated clinicians
Practitioners 2
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.
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- Los Angeles, CA
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-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1407873128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1902457963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3367 W 1ST ST STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900046080",
"telephone_number": "213-483-4246",
"fax_number": "213-483-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3367 W 1ST ST STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900046080",
"telephone_number": "213-483-4246",
"fax_number": "213-483-7257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVERLAKE VIRGIL SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-21",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "213-483-4246",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.