Healthcare Provider Details

I. General information

NPI: 1578379228
Provider Name (Legal Business Name): ASPIRE SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2024
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 21ST ST
BAKERSFIELD CA
93301-4220
US

IV. Provider business mailing address

7230 MEDICAL CENTER DR STE 500
WEST HILLS CA
91307-4024
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-5597
  • Fax:
Mailing address:
  • Phone: 818-348-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLIE TUASON
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 818-348-7246