Active NPI
Westside Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
- 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
- Kristy Wood, RN
- Title
- Clinical Director
- Phone
- (661) 588-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9700 Brimhall Rd
Bakersfield, CA 93312-2777
Mailing address
9700 Brimhall Rd
Bakersfield, CA 93312-2777
Phone (661) 588-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130226000315 | CA | Part B Supplier - Ambulatory Surgical Center | 3577718469 | Practice locations: Bakersfield, CA |
Ambulatory surgical center certification: CCN 05C0002216
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- 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
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 |
|---|---|---|---|
| 05D2096581 | Westside Surgical Center LLC | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
9700 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 631-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bakersfield, CA
- NPI 1760678643
NPI Registry JSON
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": []
}
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 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.