Organization Active NPI

CBCC Pain Medicine and Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1841363736
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0548691 Issued in CA
Legal business name
CBCC PAIN MEDICINE AND SURGERY CENTER, INC
Practice address
6501 Truxtun Ave # 190
Bakersfield, CA 93309-0633
Phone
(661) 325-8498
Fax
(661) 862-7137
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Digisha Modi
Title
Revenue Cycle Manager
Phone
(661) 862-7105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0548691 CA Primary

Addresses

Primary practice location

6501 Truxtun Ave # 190
Bakersfield, CA 93309-0633

Mailing address

6501 Truxtun Ave # 190
Bakersfield, CA 93309-0633
Phone (661) 325-8498

Other names 2

  • CBCC Pain Medicine and Surgery Center Doing business as
  • CBCC Pain Medicine and Surgery Center, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050506000407 CA Part B Supplier - Ambulatory Surgical Center 8426098617 Practice locations: Bakersfield, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
CBCC Pain Medicine and Surgery CenterCCN 05C0001408
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6501 Truxtun Ave
#190
Bakersfield, CA 93309
Phone (661) 325-8498

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1841363736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 TRUXTUN AVE # 190",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090633",
            "telephone_number": "661-325-8498",
            "fax_number": "661-862-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 TRUXTUN AVE # 190",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090633",
            "telephone_number": "661-325-8498",
            "fax_number": "661-862-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBCC PAIN MEDICINE AND SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "DIGISHA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "661-862-7105"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "0548691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBCC Pain Medicine and Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBCC Pain Medicine and Surgery Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2023; 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.