NPIMap

Organization Active NPI

Palmdale Lancaster Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
National Provider Identifier
1477502318
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
930000956 Issued in CA
Legal business name
PALMDALE LANCASTER SURGERY CENTER
Practice address
42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Phone
(661) 729-3910
Fax
(661) 729-3970
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Ecko Bernardi
Title
Administrator
Phone
(661) 729-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930000956 CA Primary

Addresses

Primary practice location

42442 10TH St W
Suite G
Lancaster, CA 93534-7067

Mailing address

42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Phone (661) 729-3910

Other identifiers 1

IdentifierTypeStateIssuer
SUR01504FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1477502318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42442 10TH ST W",
            "address_2": "SUITE G",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347067",
            "telephone_number": "661-729-3910",
            "fax_number": "661-729-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42442 10TH ST W",
            "address_2": "SUITE G",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347067",
            "telephone_number": "661-729-3910",
            "fax_number": "661-729-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMDALE LANCASTER SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BERNARDI",
        "authorized_official_first_name": "ECKO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-729-3910"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01504F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.