Organization Active NPI

Chestnut Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1194720730
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
040000484 Issued in CA
Legal business name
CHESTNUT SURGERY CENTER, LLC
Practice address
7014 N Whitney Ave Ste B
Fresno, CA 93720-0155
Phone
(559) 321-2898
Fax
(559) 321-2026
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Stacy Pittman, RN
Title
Administrator/Clinical Director
Phone
(559) 321-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 040000484 CA Primary

Addresses

Primary practice location

7014 N Whitney Ave Ste B
Fresno, CA 93720-0155

Mailing address

7014 N Whitney Ave Ste B
Fresno, CA 93720-0155
Phone (559) 321-2900

Other identifiers 1

IdentifierTypeStateIssuer
SUR01435FMedicaidCA

Other names 3

  • Chestnut Surgery Center, LLC Doing business as
  • Urology Associates of Central California Ambulatory Surgical Center Doing business as
  • Urology Associates of Central California, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000337 CA Part B Supplier - Ambulatory Surgical Center 0345288023 Receives reassigned benefits from 7 practitioners
Practice locations: Fresno, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Urology Associates of Central CaliforniaCCN 05C0001435
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1194720730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE STE B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2900",
            "fax_number": "559-321-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE STE B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2898",
            "fax_number": "559-321-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-321-2899",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "040000484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01435F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Associates of Central California Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Associates of Central California, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.