Kallos Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KALLOS SURGERY CENTER INC.

Practice address

225 Posada LN Ste 110
Templeton, CA 93465-4065

Phone

(805) 855-2020

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Charles Chalekson, MDNPI 1770668642

Title

Medical Director

Phone

(805) 434-2828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001180

Legal name

Kallos Surgery Center Inc

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 6, 2024

Last certification

May 13, 2024

Facility address

225 Posada Lane, Suite # 110
Templeton, CA 93465

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 3

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

• Charles Chalekson, MD

  • Plastic Surgery Physician
  • Templeton, CA
  • NPI 1770668642
  NPD Authorized official
• Eliza Hughes, PA-C

  • Surgical Physician Assistant
  • Arroyo Grande, CA
  • NPI 1487126421
  NPD (past)
• Sabrina Ly Vangkhue

  • Physician Assistant
  • Sacramento, CA
  • NPI 1760189336
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1760169007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 POSADA LN STE 110",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654065",
            "telephone_number": "805-855-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 POSADA LN STE 110",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654065",
            "telephone_number": "805-855-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLOS SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "CHALEKSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-434-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen Johnston, N.P.
• Jonathan Riegler, M.D., Inc.
• Leslie Ann Joslin, NP-C
• Joyce Marie Woodworth,DC
• Justin Evans DDS Inc
• Jennifer J Kang, DMD
• Tara F Karp, D.O.
• Stacey Coe Kavnaugh, DC
• Meredyth Keast-Devine, PHARM.D. B.C.P.P.
• Anne Kathryn Keith, NP

• Ambulatory Surgical Clinic/Center in Templeton, CA
• Providers in Templeton, 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 Jul 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.