Active NPI
Bakersfield Specialists Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
National Provider Identifier
1538549852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BAKERSFIELD SPECIALISTS SURGICAL CENTER, LLC
- Practice address
- 4500 Morning Drive
Ste. 102
Bakersfield, CA 93306 - Phone
- (661) 437-4140
- Fax
- (661) 437-4145
- NPI assigned
- Jun 2, 2015
- Last updated
- Jan 19, 2016
- 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
- Mrs. Katie Krueger, RN
- Title
- Administrator
- Phone
- (661) 869-5684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4500 Morning Drive
Ste. 102
Bakersfield, CA 93306
Mailing address
4500 Morning Drive
Stre. 102
Bakersfield, CA 93306
Phone (661) 437-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150902001686 | CA | Part B Supplier - Ambulatory Surgical Center | 8022324284 | Practice locations: Bakersfield, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Bakersfield Specialists Surgical Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1942666060
Member Of
Locations
1201 24th St
#B110263
Bakersfield, CA 93301
4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1396740999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1538549852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MORNING DRIVE",
"address_2": "STRE. 102",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93306",
"telephone_number": "661-437-4140",
"fax_number": "661-437-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MORNING DRIVE",
"address_2": "STE. 102",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93306",
"telephone_number": "661-437-4140",
"fax_number": "661-437-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKERSFIELD SPECIALISTS SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "KRUEGER",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "661-869-5684",
"authorized_official_name_prefix": "Mrs.",
"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
- Bakersfield Rehabilitation Hospital, LLC (Bakersfield Rehabilitation Hospital)
- Bakersfield Rescue Mission (The Mission at Kern County)
- Bakersfield Senior Center, Inc
- Bakersfield Sleep Center Inc
- Bakersfield SNF Healthcare, LLC (Bakersfield Post Acute)
- Bakersfield Specialty Group
- Bakersfield Specialty Surgery Center, PC
- Bakersfield Speech Therapy Group
- Bakersfield Speech Therapy Inc
- Bakersfield Sports Injury & Wellness Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.