SAN JOAQUIN VALLEY SURGERY CENTER, LLC – NPI #1053065573
Clinic/Center

SAN JOAQUIN VALLEY SURGERY CENTER, LLC is an AHC clinic located in BAKERSFIELD, CA. NPPES has assigned the NPI number 1053065573 to SAN JOAQUIN VALLEY SURGERY CENTER, LLC on February 04, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Apr 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JOAQUIN VALLEY SURGERY CENTER, LLC below.

NPI Profile for
SAN JOAQUIN VALLEY SURGERY CENTER, LLC

NPI Number
1053065573
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JOAQUIN VALLEY SURGERY CENTER, LLC
Primary location
2620 CHESTER AVE STE 400
BAKERSFIELD, CA 93301-2015
Phone: (410) 302-0430 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANE COX
CHAIRMAN
Phone: (661) 243-3334
Updated
Certification Date
Apr 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.