Skypark Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SKYPARK SURGERY CENTER LLC

Practice address

23441 Madison St Ste 115
Torrance, CA 90505-4725

Phone

(424) 247-2206

Fax

(213) 617-0605

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alex Liu, M.D.NPI 1275553158

Title

Ao

Phone

(213) 625-2694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Skypark Surgery Center LLCCCN 05C0002034

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Alex Chunhsien Liu, M.D.

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1275553158
  NPD Authorized official
• Eric Sooyong Ahn, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1841457652
  NPD (past)
• Martin Edward Flynn, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1730129719
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1982965612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST",
            "address_2": "SUITE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054725",
            "telephone_number": "213-617-9194",
            "fax_number": "213-617-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054725",
            "telephone_number": "424-247-2206",
            "fax_number": "213-617-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYPARK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "213-625-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Urology
• Skypark Pharmacy Inc
• Skypark Physical Therapy & Rehabilitation
• Skypark Physical Therapy, Inc
• Skypark Preferred Family Care Medical Corporation
• Katherine Sladewski, PA
• Vanesa Sladich
• Sleep Apnea Team LLC
• Kristin E Slinger
• Cynthia V Sloan, MS

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.

Verify at the official NPI Registry.