Organization Active NPI

Westside Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1447539747
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 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
05D2096581Westside Surgical Center LLC9700 Brimhall Rd, Ste 100, Bakersfield, CA 93312Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.