San Joaquin Valley Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAN JOAQUIN VALLEY SURGERY CENTER, LLC

Practice address

2620 Chester Ave Ste 400
Bakersfield, CA 93301-2015

Phone

(410) 302-0430

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Shane Cox, CFO

Title

Chairman

Phone

(661) 243-3334

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508

  Member Of

  NPD member

Locations

Practitioners 1

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

• Robert Joseph Eisenberg, RN

  • Registered Nurse
  • Reisterstown, MD
  • NPI 1417283136
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1053065573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CHESTER AVE STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012015",
            "telephone_number": "410-302-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CHESTER AVE STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012015",
            "telephone_number": "410-302-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "661-243-3334",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Joaquin Home Care
• San Joaquin Sleep Care LLC
• San Joaquin Valley Health Group Inc
• San Joaquin Valley Health Group Inc
• San Joaquin Valley Pulmonary Group
• San Joaquin Wellness & Medical Group, Inc
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc
• San Michael Pediatrics Inc
• Deborah Kristy San-Gil, MSN, FNP-BC, NP-C
• Gisselle Sanchez Aguirre

• Ambulatory Surgical Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, 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 Apr 26, 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.