Organization Active NPI

Bakersfield Outpatient Surgery Center LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1083877542
Registry record updated Jul 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
38144 Issued in CA
Legal business name
BAKERSFIELD OUTPATIENT SURGERY CENTER LLC
Practice address
201 China Grade Loop
Suite C
Bakersfield, CA 93308-1707
Phone
(661) 340-9910
NPI assigned
Jul 4, 2008
Last updated
Jul 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2008

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

Authorized official

Name
Dr. Serge V Verne, D.D.S., M.D.
Title
Oral & Maxillofacial Surgeon
Phone
(661) 865-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 38144 CA Primary

Addresses

Primary practice location

201 China Grade Loop
Suite C
Bakersfield, CA 93308-1707

Mailing address

1404 Fieldspring Dr
Bakersfield, CA 93311-3576
Phone (661) 858-0865

National Provider Directory

National Provider Directory

Locations

201 China Grade Loop
Ste C
Bakersfield, CA 93308
Phone (661) 340-9910

NPI Registry JSON

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215129600000",
    "number": "1083877542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 FIELDSPRING DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113576",
            "telephone_number": "661-858-0865",
            "fax_number": "661-858-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHINA GRADE LOOP",
            "address_2": "SUITE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-340-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2008-07-04",
        "status": "A",
        "authorized_official_last_name": "VERNE",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "661-865-4209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.