Bakersfield Lithotripsy, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAKERSFIELD LITHOTRIPSY, LLC

Practice address

2202 S Figueroa St
#6001
Los Angeles, CA 90007-2049

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Lacey Dinh

Title

Revenue Cycle Manager of Abs

Phone

(520) 258-0326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1427236397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S FIGUEROA ST",
            "address_2": "#6001",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072049",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER OF ABS",
        "authorized_official_telephone_number": "520-258-0326"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Baker
• Sydney L. K. Baker
• Synne Baker
• Vamonica Baker
• Wilnard Baker, R1494060123
• Benyapa Bakewell
• Brandi Camille Bakewell, LMFT
• Ryan Henry Bakhit, DO
• Joiakim S Bakhoum, D.D.S.
• Mervat S Bakhoum, D.D.S.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.