Organization Active NPI

Riverwalk Surgical Center, Inc.

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1790497204
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RIVERWALK SURGICAL CENTER, INC.
Practice address
9610 Stockdale Hwy Unit a
Bakersfield, CA 93311-3626
Phone
(661) 664-0314
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Martha Garcia
Title
Credential
Phone
(661) 910-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

9610 Stockdale Hwy Unit a
Bakersfield, CA 93311-3626

Mailing address

9610 Stockdale Hwy Unit a
Bakersfield, CA 93311-3626
Phone (661) 664-0314

Other identifiers 2

IdentifierTypeStateIssuer
2300174704OtherCACITY BUSINESS LICENSE
36987OtherCAANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1790497204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 STOCKDALE HWY UNIT A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113626",
            "telephone_number": "661-664-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 STOCKDALE HWY UNIT A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113626",
            "telephone_number": "661-664-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CREDENTIAL",
        "authorized_official_telephone_number": "661-910-6890"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY BUSINESS LICENSE",
            "identifier": "2300174704",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "36987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2023; 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.