Stockdale Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STOCKDALE SURGERY CENTER LLC

Practice address

9802 Stockdale Hwy
104
Bakersfield, CA 93311-3613

Phone

(661) 665-7885

Fax

(661) 735-3941

NPI assigned

Apr 17, 2009

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Rivas

Title

Administrative Assistant

Phone

(661) 665-7885

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Stockdale Surgery Center LLCCCN 05C0001940

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Arturo E Palencia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bakersfield, CA
  • NPI 1104890151
  NPD (past)

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1548403744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY",
            "address_2": "104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-665-7885",
            "fax_number": "661-735-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY",
            "address_2": "104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-665-7885",
            "fax_number": "661-735-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKDALE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "661-665-7885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "F1940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stockdale Podiatry Group Inc
• Stockdale Podiatry Group Inc
• Stockdale Radiology LLC
• Stockdale Radiology Physicians Services, Inc (Stockdale Radiology Physicians)
• Stockdale Speech Language Pathology, Inc
• Shannon Stockton
• Khristina Stoker, TRAINEE
• Alexis Cassandra Stokes
• Jesse Steven Stoll
• Dominique Campos Stone-Peel

• Ambulatory Surgical Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.

Verify at the official NPI Registry.