Active NPI
CBCC Pain Medicine and Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Bakersfield, CA
National Provider Identifier
1841363736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0548691
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- CBCC Pain Medicine and Surgery Center, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Bakersfield, CA
- NPI 1386631901
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.