NPIMap

Organization Active NPI

Silver Summit Medical Corporation

Doing business as Premier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1679791404
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SILVER SUMMIT MEDICAL CORPORATION
Doing business as
Premier Surgery Center
Practice address
1408 Commercial Way
Bakersfield, CA 93309-0407
Phone
(661) 327-4455
NPI assigned
Apr 24, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Madeline Angela Meyer, PHD
Title
Director
Phone
(321) 274-8344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
Specialist 174400000X A45356 CA

Addresses

Primary practice location

1408 Commercial Way
Bakersfield, CA 93309-0407

Mailing address

PO Box 748792
Los Angeles, CA 90074-8792
Phone (661) 864-3664

Other identifiers 2

IdentifierTypeStateIssuer
SUR1315FMedicaidCA
1679791404MedicaidCA

Other names 1

  • Premier Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000878 CA Part B Supplier - Ambulatory Surgical Center 6002800588 Receives reassigned benefits from 6 practitioners
Practice locations: Bakersfield, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Silver Summit Medical Corporation Premier Surgery Center Dba Bakersfield Endoscopy CenterCCN 05C0001315
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Silver Summit Medical Corporation9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1408 Commercial Way
Ste E
Bakersfield, CA 93309

5020 Commerce Dr
Bakersfield, CA 93309

5020 Commerce Dr
Ste C
Bakersfield, CA 93309

Practitioners & affiliated clinicians

Practitioners 8

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1679791404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748792",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748792",
            "telephone_number": "661-864-3664",
            "fax_number": "661-328-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COMMERCIAL WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090407",
            "telephone_number": "661-327-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SUMMIT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-274-8344",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR1315F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679791404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2021; 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.