OrganizationActive
Blue Wave Surgery Center, Inc.
NPI 1821362443 · Ambulatory Surgical Clinic/Center · Sherman Oaks, CA
Provider details
- NPI number
- 1821362443
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Blue Wave Surgery Center, Inc
- Organization subpart
- Yes
- Authorized official
- Alexander Sorokurs, President(310) 622-5369
- License
- A54193 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770
Phone: (310) 622-5369
Street-level locationGet directions
Mailing address
4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770
Registry dates
- Enumerated
- 2012-02-29
- Last updated
- 2012-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.