Visalia Ambulatory Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A97987 Issued in CA

Legal business name

VISALIA AMBULATORY SURGICAL CENTER LLC

Practice address

105 E Noble Ave
Visalia, CA 93277-2717

Phone

(559) 735-0500

NPI assigned

Aug 29, 2015

Organization subpart

No

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

Authorized official

Name

Kusai Aziz, M.D.NPI 1265590863

Title

President

Phone

(559) 735-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospital certification: CCN 050820

Legal name

VISALIA AMBULATORY SURGICAL CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 24, 2020

Last certification

Sep 24, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

105 East Noble
Visalia, CA 93277

Ambulatory surgical center certification: CCN 05C0002173

Legal name

VISALIA AMBULATORY SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 6, 2018

Last certification

Apr 6, 2018

Ownership / control type

Proprietary

Facility address

105 East Noble Avenue
Visalia, CA 93277

Locations

Practitioners 2

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

• Kusai S Aziz, M.D.

  • Nuclear Cardiology Physician
  • Visalia, CA
  • NPI 1265590863
  NPD (past) Authorized official
• Sukhvinder Bhajal, DR

  • Cardiovascular Disease Physician
  • Visalia, CA
  • NPI 1346270113
  NPD

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1760859334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772717",
            "telephone_number": "559-735-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772717",
            "telephone_number": "559-735-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "KUSAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-735-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A97987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1265590863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Vincent
• Lindsay Ann Vinet
• John Ray Floyd Vining
• Parminder Virdi, MD
• Visalia Adult Day Health Care Facility, Inc.
• Visalia Cardiovascular and Medical Center, Inc
• Visalia Cardiovascular and Medical Center, Inc
• Visalia Center for Ambulatory Medicine and Surgery
• Visalia Children'S Dental Surgery Center Inc
• Visalia Dentistry 4 Kids

• Ambulatory Surgical Clinic/Center in Visalia, CA
• Providers in Visalia, 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 Jan 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.