Westside Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WESTSIDE SURGICAL CENTER LLC

Practice address

9700 Brimhall Rd
Bakersfield, CA 93312-2777

Phone

(661) 588-5400

Fax

(661) 829-8657

NPI assigned

Aug 4, 2011

Last updated

Apr 10, 2015By 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

Kristy Wood, RN

Title

Clinical Director

Phone

(661) 588-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447539747. Details of each certification follow.

• CCN 05C0002216 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0002216

Legal name

WESTSIDE SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 20, 2018

Last certification

Dec 20, 2018

Ownership / control type

Proprietary

Facility address

9700 Brimhall Road
Bakersfield, CA 93312

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Steven Matthew Yaplee, M.D.

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1760678643
  NPD

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1447539747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122777",
            "telephone_number": "661-588-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122777",
            "telephone_number": "661-588-5400",
            "fax_number": "661-829-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "661-588-5400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 10, 2015; 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.
• 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.