Provider Demographics
NPI:1033222989
Name:EMPIRE SURGERY CENTER
Entity Type:Organization
Organization Name:EMPIRE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-335-7755
Mailing Address - Street 1:4101 EMPIRE DRIVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-325-1900
Mailing Address - Fax:661-325-1960
Practice Address - Street 1:4101 EMPIRE DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-325-1900
Practice Address - Fax:661-325-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAZ18704261QA1903X
261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA490005547OtherMEDICARE RAILROAD
CASUR01478GMedicaid
CA490005547OtherMEDICARE RAILROAD
CAZZZ18704ZMedicare PIN