Active NPI
HNC, LLC
- Ambulatory Surgical Clinic/Center
- Clovis, CA
National Provider Identifier
1457010209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HNC, LLC
- Practice address
- 576 Magnolia Ave.
Clovis, CA 93611 - Phone
- (000) 000-0000
- NPI assigned
- Dec 9, 2021
- 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
- John Wiemann, MD
- Title
- Medical Director
- Phone
- (937) 614-9594
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
576 Magnolia Ave.
Clovis, CA 93611
Mailing address
576 N Magnolia Ave
Clovis, CA 93611-9207
Phone (559) 242-2820
Other names 1
- Kaizen Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220609000271 | CA | Part B Supplier - Ambulatory Surgical Center | 0244618957 | Practice locations: Clovis, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- HNC LLC Dba Kaizen 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 |
|---|---|---|---|
| 05D2273905 | HNC, LLC (Dba) Kaizen Surgery Center | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hollister, CA
- NPI 1730228768
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Clovis, CA
- NPI 1528402179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1457010209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 N MAGNOLIA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936119207",
"telephone_number": "559-242-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 MAGNOLIA AVE.",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93611",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HNC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "WIEMANN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "937-614-9594",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kaizen Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaizen Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.