Active NPI
Manhattan Beach Surgical Institute LLC
- Ambulatory Surgical Clinic/Center
- Manhattan Beach, CA
National Provider Identifier
1982325916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MANHATTAN BEACH SURGICAL INSTITUTE LLC
- Practice address
- 1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470 - Phone
- (424) 220-4400
- Fax
- (424) 220-8344
- NPI assigned
- Sep 7, 2022
- 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
- Marisol Magana
- Title
- Director of Operations
- Phone
- (424) 220-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470
Mailing address
1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470
Phone (424) 220-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221212000234 | CA | Part B Supplier - Ambulatory Surgical Center | 6608245832 | Practice locations: Manhattan Beach, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2046280 | Manhattan Beach Surgical Institute | Certificate of waiver | Oct 20, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Redondo Beach, CA
- NPI 1205133279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1982325916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ROSECRANS AVE STE 110",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662470",
"telephone_number": "424-220-4400",
"fax_number": "424-220-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROSECRANS AVE STE 110",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662470",
"telephone_number": "424-220-4400",
"fax_number": "424-220-8344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN BEACH SURGICAL INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "MAGANA",
"authorized_official_first_name": "MARISOL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "424-220-4400"
},
"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
- Jason-Matthew San Jose Manalili, PT
- Enrika Gerelyn Asuncion Manalo
- Tatevik Mananian, OD
- Manhattan Beach Dental Esthetics
- Manhattan Beach Guest Home, Inc.
- Manhattan Beach Unified School District
- Manhattan Beach Vision Group - Optometry, Inc
- Manhattan Beach Vision Group Inc
- Manhattan Dental Care
- Manhattan Village Counseling Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.