Organization Active NPI

Courtyard Surgery Pavilion, Inc

  • Ambulatory Surgical Clinic/Center
  • Visalia, CA
National Provider Identifier
1679534614
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
550000162 Issued in CA
Legal business name
COURTYARD SURGERY PAVILION, INC
Practice address
112 N Akers St
Suite B
Visalia, CA 93291-5121
Phone
(559) 733-4399
Fax
(559) 733-1758
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Dr. Stan Harrison Feil, M.D.
Title
President/Medical Director
Phone
(559) 733-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 550000162 CA Primary

Addresses

Primary practice location

112 N Akers St
Suite B
Visalia, CA 93291-5121

Mailing address

112 N Akers St
Suite B
Visalia, CA 93291-5121
Phone (559) 733-4399

Other identifiers 11

IdentifierTypeStateIssuer
05C0001753OtherCMS NUMBER
FNP 33532OtherCAFICTITIOUS NAME PERMIT
ZZZH5408ZOtherCATRICARE PROVIDER#
550000162OtherCASTATE LICENSE NUMBER
CLN 1607OtherCAPHARMACY CLINIC PERMIT
1942205240OtherSTAN H. FEIL, M.D. (NPI)
ZZZH5408ZOtherCABLUE SHIELD PROVIDER ID#
BL018923OtherCABUSINESS TAX CERTIFICATE
2732566OtherCAARTICLES OF INCORPORATION
P00334549OtherMEDICARE RAILROAD #
SUR01753FMedicaidCA

Other names 1

  • Courtyard Surgery Pavilion Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060327000910 CA Part B Supplier - Ambulatory Surgical Center 1052329489 Practice locations: Visalia, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Courtyard Surgery Pavilion IncCCN 05C0001753
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
05D1070782Courtyard Surgery Pavilion112 N Akers Street Suite B, Visalia, CA 93291Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

112 N Akers St
Ste B
Visalia, CA 93291
Phone (559) 733-4372

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1679534614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N AKERS ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-733-4399",
            "fax_number": "559-733-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N AKERS ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-733-4399",
            "fax_number": "559-733-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD SURGERY PAVILION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "FEIL",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-733-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS NUMBER",
            "identifier": "05C0001753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT",
            "identifier": "FNP 33532",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER#",
            "identifier": "ZZZH5408Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "550000162",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY CLINIC PERMIT",
            "identifier": "CLN 1607",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAN H. FEIL, M.D. (NPI)",
            "identifier": "1942205240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID#",
            "identifier": "ZZZH5408Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS TAX CERTIFICATE",
            "identifier": "BL018923",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "2732566",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00334549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01753F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Surgery Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.