Active NPI
Lakeview Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LAKEVIEW SURGERY CENTER LLC
- Practice address
- 6501 Truxtun Ave Ste 180
Bakersfield, CA 93309-0633 - Phone
- (661) 820-0500
- NPI assigned
- Apr 8, 2024
- 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
- Jan Eckermann, MD
- Title
- Medical Director
- Phone
- (310) 703-7713
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6501 Truxtun Ave Ste 180
Bakersfield, CA 93309-0633
Mailing address
6501 Truxtun Ave Ste 180
Bakersfield, CA 93309-0633
Phone (661) 820-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240514000201 | CA | Part B Supplier - Ambulatory Surgical Center | 4688015225 | Practice locations: Bakersfield, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679326177. Details of each certification follow.
Ambulatory surgical center certification: CCN 55C0001182
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Lakeview Surgery Center
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 23, 2025
- Last certification
- Jan 7, 2025
- Ownership / control type
- Proprietary
- Facility address
- 6501 Truxtun Ave., Ste. 180
Bakersfield, CA 93309
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 |
|---|---|---|---|
| 05D2305498 | Lakeview Surgery Center | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Neurological Surgery Physician
- Bakersfield, CA
- NPI 1962619668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714694400000",
"number": "1679326177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 TRUXTUN AVE STE 180",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090633",
"telephone_number": "661-820-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 TRUXTUN AVE STE 180",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090633",
"telephone_number": "661-820-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A",
"authorized_official_last_name": "ECKERMANN",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-703-7713",
"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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.