Organization Active NPI

Kern Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1144773490
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KERN SURGERY CENTER, LLC
Practice address
2323 16TH St
#507
Bakersfield, CA 93301-3420
Phone
(661) 395-1335
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
John L Brazill, MD
Title
Medical Director
Phone
(661) 395-1335

Specialties & licenses 1

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

Addresses

Primary practice location

2323 16TH St
#507
Bakersfield, CA 93301-3420

Mailing address

2323 16TH St
#507
Bakersfield, CA 93301-3420
Phone (661) 395-1335

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kern Surgery Center LLCCCN 05C0002205
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
05D2124736Kern Surgery Center LLC2323 16TH St, Ste 507, Bakersfield, CA 93301Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

2323 16th St
Ste 507
Bakersfield, CA 93301
Phone (661) 395-1335

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1144773490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "#507",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-395-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "#507",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-395-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "BRAZILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-395-1335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.