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COFFEE SURGERY CENTER, LLC
NPI 1457643405
Clinic/Center - Ambulatory Surgical in Bakersfield, CA

Active since May 10, 2011CLIA 05D2043114 · Waiver
2120 19TH ST, BAKERSFIELD, CA 93301(661) 213-4813 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coffee Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEE SURGERY CENTER, LLC (NPI 1457643405), doing business as All Kids Dental Surgery Center, is a healthcare organization registered as an ambulatory surgical in Bakersfield, California and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457643405
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOFFEE SURGERY CENTER, LLC
Location Address2120 19TH STBakersfield, CA 93301-3709
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1216 · (713) 489-2198 · Fax (713) 489-2978
Phone(661) 213-4813
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (631) 445-0593
Enumeration DateMay 10, 2011
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1457643405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed · PENDING
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License PENDING
2120 19TH ST, Bakersfield, CA 93301
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Other Names 1

Doing Business AsAll Kids Dental Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2043114

Coffee Surgery Center LLC · Bakersfield, CA
Active · expires Jun 26, 2028
CLIA Number05D2043114
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorMark Hafter
Laboratory Phone(661) 325-5437
Laboratory LocationCoffee Surgery Center LLC2120 19th St, Bakersfield, CA 93301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL VALLEY SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (661) 903-9555
UNIVERSITY SURGICAL INSTITUTE LLC
Clinic/Center (Ambulatory Surgical)
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (248) 459-0314
GARRETT S HILT CERTIFIED REGISTERED NURSING ANESTHESIA INC
Anesthesiology
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (661) 698-0620
BAKERSFIELD SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (661) 638-0620
BAKERSFIELD COMMONS SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (661) 748-1905
CONCORDIA SURGERY CENTER, LLC.
Clinic/Center (Ambulatory Surgical)
2120 19TH ST
BAKERSFIELD, CA 93301
Kern County (661) 599-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffee Surgery Center, LLC's NPI number?

The NPI number for Coffee Surgery Center, LLC is 1457643405. It was assigned to this organization in the NPPES registry on May 10, 2011. The provider is doing business as All Kids Dental Surgery Center.

Where is Coffee Surgery Center, LLC located?

Coffee Surgery Center, LLC is located at 2120 19th St, Bakersfield, CA 93301. The listed phone number is (661) 213-4813.

What is Coffee Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coffee Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2043114) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coffee Surgery Center, LLC accept?

Health plans from UnitedHealthcare list Coffee Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coffee Surgery Center, LLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.