Kern River Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KERN RIVER SURGERY CENTER, LLC

Practice address

2901 Sillect Ave Ste 203
Bakersfield, CA 93308-6373

Phone

(805) 364-8450

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph MozingoNPI 1245257963

Title

Authorized Official

Phone

(805) 563-0363

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Coastal Surgery Center Partners

  dba Coastal Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1164974655

  Member Of

  NPD member

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.

• Ralph D Mozingo, DO

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1245257963
  NPD Authorized official
• Robert M. Hullander, M.D.

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1285731976
  NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1700541877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRAY AVE STE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086373",
            "telephone_number": "805-364-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN RIVER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "MOZINGO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "805-563-0363"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kern Radiology Medical Group, Inc
• Kern Radiology Medical Group, Inc
• Kern Radiology Medical Group, Inc
• Kern Rapid Transit, LLC
• Kern Rehabilitation, Inc
• Kern Surgery Center, LLC
• Kern Surgical Associates Inc
• Kern Surgical Supply, Inc.
• Kern Transport
• Kern Union High School District

• Ambulatory Surgical Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.