Active NPI
Riverwalk Surgical Center, Inc.
- Surgery Physician
- Bakersfield, CA
National Provider Identifier
1790497204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2300174704 | Other | CA | CITY BUSINESS LICENSE |
| 36987 | Other | CA | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI 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.