Organization Active NPI

Lakeview Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1679326177
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on May 3, 2024

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

Authorized official

Name
Jan Eckermann, MDNPI 1962619668
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 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
05D2305498Lakeview Surgery Center6501 Truxtun Ave, Ste 180, Bakersfield, CA 93309Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

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.

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

Verify at the official NPI Registry.