Organization Active NPI

Silverlake Virgil Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1902457963
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Thomas D Lim, DPMNPI 1093770729
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.