Organization Active NPI

Apple Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1366635609
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
APPLE SURGERY CENTER, INC
Practice address
9870 Brimhall Rd Unit 200
Bakersfield, CA 93312-2798
Phone
(661) 637-1005
Fax
(661) 637-1006
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Nandakumar B. Ravi, MDNPI 1770554321
Title
Owner/Secretary
Phone
(661) 637-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9870 Brimhall Rd Unit 200
Bakersfield, CA 93312-2798

Mailing address

PO Box 22500
Bakersfield, CA 93390-2500
Phone (661) 637-1005

Other identifiers 2

IdentifierTypeStateIssuer
ZZZH1520ZOtherCABLUE SHIELD
05C1864MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090422000591 CA Part B Supplier - Ambulatory Surgical Center 2264589654 Practice locations: Bakersfield, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Apple Surgery CenterCCN 05C0001864
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
05D1077224Apple Surgery Center, Inc9870 Brimhall Road, Suite B, Bakersfield, CA 93312Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1366635609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902500",
            "telephone_number": "661-637-1005",
            "fax_number": "661-637-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 BRIMHALL RD UNIT 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122798",
            "telephone_number": "661-637-1005",
            "fax_number": "661-637-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "NANDAKUMAR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "661-637-1005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH1520Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05C1864",
            "state": "CA"
        }
    ],
    "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 Apr 27, 2015; 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.