Active NPI
Central Valley Surgery Center Inc
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
National Provider Identifier
1487920716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CENTRAL VALLEY SURGERY CENTER INC
- Practice address
- 2725 16TH St
Bakersfield, CA 93301-3355 - Phone
- (805) 563-3307
- NPI assigned
- Mar 30, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Alan Moelleken, MD
- Title
- Director
- Phone
- (805) 563-3307
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Santa Barbara, CA
- NPI 1649292673
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Central Valley Surgery Center Inc
- 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 |
|---|---|---|---|
| 05D2052620 | Central Valley Surgery Center | Certificate of waiver | Jan 14, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140930000928 | CA | Part B Supplier - Ambulatory Surgical Center | 6305066135 | Practice locations: Bakersfield, CA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2725 16TH St
Bakersfield, CA 93301-3355
Mailing address
2725 16TH St
Bakersfield, CA 93301-3355
Phone (805) 563-3307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2014.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1487920716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 16TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013355",
"telephone_number": "805-563-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 16TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013355",
"telephone_number": "805-563-3307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL VALLEY SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "MOELLEKEN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-563-3307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Mar 7, 2014; 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.