Ky Advanced Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

20A10743 Issued in CA

Legal business name

KY ADVANCED SURGICAL CENTER INC

Practice address

3796 N Fresno St
103
Fresno, CA 93726-5500

Phone

(559) 221-9905

Fax

(559) 221-9908

NPI assigned

Sep 5, 2013

Last updated

Dec 13, 2024By 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

Sarah Barela

Title

Biller

Phone

(559) 435-1757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Ky Advanced Surgical Center IncCCN 05C0002121

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Paul Ky

  • Interventional Pain Medicine Physician
  • Fresno, CA
  • NPI 1043374028
  NPD

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1730514027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265500",
            "telephone_number": "559-221-9905",
            "fax_number": "559-221-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3796 N FRESNO ST",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265500",
            "telephone_number": "559-221-9905",
            "fax_number": "559-221-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY ADVANCED SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "BARELA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "559-435-1757"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "20A10743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tae Kwon
• Amanda Kwong
• Arlen Kwong, D.O.
• Elizabeth Kwong, PSYD
• KWPH Enterprises Inc (American Ambulance)
• Paul Ky
• Tin Tin Kyaw, MD
• Kyjo Enterprises, Inc.
• Kyjo Enterprises, Inc.
• Kyjo Enterprises, Inc.

• Ambulatory Surgical Clinic/Center in Fresno, CA
• Providers in Fresno, 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 Dec 13, 2024; 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.