Kern Medical Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KERN MEDICAL SURGERY CENTER, LLC

Practice address

9300 Stockdale Hwy
Suite 200
Bakersfield, CA 93311-3613

Phone

(661) 326-2106

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Scott Thygerson

Title

Chief Strategy Officer

Phone

(661) 326-2106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Kern Medical Surgery Center LLCCCN 05C0002209

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1336668284

  Member Of

  NPD member

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1093264368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-326-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-326-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN MEDICAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "THYGERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "661-326-2106"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kern Medical Center
• Kern Medical Center
• Kern Medical Center Auxillary
• Kern Medical Centre
• Kern Medical Supply, LLC
• Kern Medical Transport Inc.
• Kern Nephrology Medical Group
• Kern Neurosurgical Institute, Inc
• Kern Physicians Medical Group
• Kern PM&R Associates Inc

• All providers in Bakersfield, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.