Central Valley Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL VALLEY SURGICAL CENTER LLC

Practice address

2120 19TH St
Bakersfield, CA 93301-3709

Phone

(661) 903-9555

NPI assigned

Aug 22, 2018

Last updated

Apr 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ganesh Acharya

Title

Authorized Official

Phone

(602) 370-0721

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073094660. Details of each certification follow.

• CCN 050842 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050842

Legal name

CENTRAL VALLEY SURGICAL CENTER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Feb 19, 2021

Last certification

Feb 19, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

2120 19TH St
Bakersfield, CA 93301

Listed as

Central Valley Surgical CenterCCN 05C0002251

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1073094660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013709",
            "telephone_number": "661-903-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013709",
            "telephone_number": "661-903-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "ACHARYA",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "602-370-0721"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174786347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Star Behavioral Health, Inc. (Kern Youth Psychiatric Health Facility)
• Central Valley Anesthesia Assoc Inc
• Central Valley Behavior Care, LLC
• Central Valley Occupational Medical Group
• Central Valley Surgery Center Inc
• Centre for Neuro Skills
• Centric Health (Sillect Urgent Care)
• Centric Health (Golden Hospitalist of Bakersfield)
• Centric Health
• Centric Health (Centric Health Urgent Care)

• 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 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.