Coffee Surgery Center, LLC
NPI 1457643405 · Ambulatory Surgical Clinic/Center · Bakersfield, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coffee Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bakersfield, CA (NPI 1457643405).
Provider details
- NPI number
- 1457643405
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devin Larsen, Ceo(631) 445-0593
- License
- PENDING
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- All Kids Dental Surgery Center
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Frequently asked questions
- What is Coffee Surgery Center, LLC's NPI number?
- Coffee Surgery Center, LLC's National Provider Identifier (NPI) is 1457643405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Surgery Center, LLC?
- Coffee Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coffee Surgery Center, LLC located?
- Coffee Surgery Center, LLC's practice location on file with NPPES is 2120 19th St, Bakersfield, CA 93301-3709.
- What is Coffee Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coffee Surgery Center, LLC is (661) 213-4813.
- Does Coffee Surgery Center, LLC accept Medicare?
- Coffee Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coffee Surgery Center, LLC?
- The authorized official listed on Coffee Surgery Center, LLC's NPPES record is Devin Larsen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Surgery Center, LLC's NPI active?
- Yes — Coffee Surgery Center, LLC's NPI (1457643405) is active in the NPPES registry as of the last update on 2026-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.