Oaks Surgical Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OAKS SURGICAL CENTER,LLC

Practice address

4500 Trade Center Dr
Suite B
Bakersfield, CA 93311-8716

Phone

(661) 836-5521

Fax

(661) 836-5808

NPI assigned

Sep 1, 2016

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Riedel, R.N.

Title

Director of Clinical Operations

Phone

(818) 348-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235686791. Details of each certification follow.

• CCN 050812 Hospital · Terminated · Name & address match · Details
• CCN 05C0002152 Ambulatory surgical center · Active · Name & address match · Details

Hospital certification: CCN 050812

Legal name

OAKS SURGICAL CENTER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Jul 14, 2020

Last certification

Jul 14, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

4500 Trade Center Drive Suite B
Bakersfield, CA 93311

Ambulatory surgical center certification: CCN 05C0002152

Legal name

OAKS SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 24, 2017

Last certification

Jul 24, 2017

Ownership / control type

Proprietary

Facility address

4500 Trade Center Drive, Suite B
Bakersfield, CA 93311

Practitioners 2

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.

• Paul Bennett Johnson, M.D.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1750449229
  NPD (past)
• Mark Andrew Liker, M.D.

  • Neurological Surgery Physician
  • Valencia, CA
  • NPI 1407806292
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1235686791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 TRADE CENTER DR",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118716",
            "telephone_number": "661-836-5521",
            "fax_number": "661-836-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS SURGICAL CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "818-348-7246",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Hills Medical Corporation (Heart Vascular and Leg Center)
• Oak Hills Medical Corporation (Vascular Health)
• Oak Hills Medical Corproation (Vascular Health, Vein and Vascular Center)
• Oak Hills Medical Corproation (Diabetic Foot and Wound Care)
• Deborah Oakes, MS, CCC-SLP
• Oasis Medical Group
• Mohammed Fadi Fuad Obaidat, M.D.
• Natalia Obando Cabrejo, FNP
• Howard Obando, OTR/L
• Alicia Obeirne, ASW, PPSC

• Ambulatory Surgical Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.