Organization Active NPI

Riverlakes Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1659609311
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIVERLAKES SURGERY CENTER LLC
Practice address
7508 Meany Ave Ste B
Bakersfield, CA 93308-5178
Phone
(661) 410-0010
Fax
(661) 589-9499
NPI assigned
Nov 18, 2009
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
David Bingley Hair, M.D.NPI 1518173939
Title
Owner/Medical Director
Phone
(661) 410-0010

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

7508 Meany Ave Ste B
Bakersfield, CA 93308-5178

Mailing address

7508 Meany Ave Ste B
Bakersfield, CA 93308-5178
Phone (661) 410-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000890 CA Part B Supplier - Ambulatory Surgical Center 3779627450 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Riverlakes Surgery Center LLCCCN 05C0001933
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2009506Riverlakes Surgery Center LLC7508 Meany Avenue, Suite B, Bakersfield, CA 93308Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1659609311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 MEANY AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085178",
            "telephone_number": "661-410-0010",
            "fax_number": "661-589-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7508 MEANY AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085178",
            "telephone_number": "661-410-0010",
            "fax_number": "661-589-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERLAKES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HAIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BINGLEY",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-410-0010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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 Nov 23, 2009; 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.