Active NPI
Apple Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nandakumar B. Ravi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZH1520Z | Other | CA | BLUE SHIELD |
| 05C1864 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1077224 | Apple Surgery Center, Inc | Certificate of waiver | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryMember 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.
-
- Gastroenterology Physician
- Bakersfield, CA
- NPI 1770554321
-
- Specialist
- Bakersfield, CA
- NPI 1003899907
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.