Organization Active NPI

Natraj Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Porterville, CA
National Provider Identifier
1083711568
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
550000077 Issued in CA
Legal business name
NATRAJ SURGERY CENTER INC.
Practice address
555 West Putnam Ave
Porterville, CA 93257
Phone
(559) 788-0505
NPI assigned
Sep 19, 2006
Last updated
Jan 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Mrs. Jyotsana Pandya
Title
ASC Supervisor
Phone
(559) 788-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 550000077 CA Primary

Addresses

Primary practice location

555 West Putnam Ave
Porterville, CA 93257

Mailing address

555 West Putnam Ave
Porterville, CA 93257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000324 CA Part B Supplier - Ambulatory Surgical Center 5294730347 Practice locations: Porterville, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Natraj Surgery Center IncCCN 05C0001771
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1035049Natraj Surgery Center Inc555 W Putnam Ave, Porterville, CA 93257Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1083711568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WEST PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WEST PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-788-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATRAJ SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "JYOTSANA",
        "authorized_official_title_or_position": "ASC SUPERVISOR",
        "authorized_official_telephone_number": "559-788-0505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.