CHINA LAKE SURGERY CENTER, LLC
NPI 1821223827
Clinic/Center - Ambulatory Surgical in Ridgecrest, CA

Q: What is China Lake Surgery Center, LLC's NPI number?

The NPI number for China Lake Surgery Center, LLC is 1821223827. It was assigned to this organization in the NPPES registry on May 19, 2009.

Q: What is China Lake Surgery Center, LLC's specialty?

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

Active since May 19, 2009

1111 N CHINA LAKE BLVD, SUITE 2A, RIDGECREST, CA 93555(760) 446-8100(760) 446-8181 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About China Lake Surgery Center, Llc NPPES

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

CHINA LAKE SURGERY CENTER, LLC (NPI 1821223827) is a healthcare organization registered as an ambulatory surgical in Ridgecrest, California and active in the NPI registry since May 2009. The organization lists Lee Marek, Secretary, as its authorized official.

NPPES Registry Identity

NPI1821223827

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCHINA LAKE SURGERY CENTER, LLC

Location Address1111 N CHINA LAKE BLVD, SUITE 2ARidgecrest, CA 93555-3131

Mailing Address1111 N China Lake Blvd, Suite 2aRidgecrest, CA 93555-3131 · (760) 446-8100 · Fax (760) 446-8181

Phone(760) 446-8100

Fax(760) 446-8181

Organization SubpartNo

Authorized OfficialLee MarekSecretary · (760) 446-8100

Enumeration DateMay 19, 2009

✔ NPI 1821223827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1111 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

China Lake Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20101110001007Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

ANDREW MODIC MD

Internal Medicine

1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Kern County (760) 499-3855

MR. BRADLEY DEAN SUMMERS PA

Physician Assistant (Medical)

1111 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL
RIDGECREST, CA 93555

Kern County (760) 499-3800

TODD ROWLAND MSN, RN, FNP-C, CEN

Nurse Practitioner (Family)

1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Kern County (760) 499-3855

HELAINE M BOGGS R.N. NPF

Nurse Practitioner

1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Kern County (760) 446-8281

INDIAN WELLS PODIATRY GROUP

Podiatrist (Foot & Ankle Surgery)

1111 N CHINA LAKE BLVD, SUITE 301
RIDGECREST, CA 93555

Kern County (760) 499-3270

PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION

Pediatrics (Adolescent Medicine)

1111 N CHINA LAKE BLVD, SUITE 120
RIDGECREST, CA 93555

Kern County (760) 446-7337

RIDGECREST REGIONAL HOSPITAL

Clinic/Center (Rural Health)

1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Kern County (760) 499-3855

DR. MINU AMBIKA RAJENDRAN MD

Internal Medicine

1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Kern County (760) 499-3855

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 China Lake Surgery Center, LLC's NPI number?

The NPI number for China Lake Surgery Center, LLC is 1821223827. It was assigned to this organization in the NPPES registry on May 19, 2009.

Where is China Lake Surgery Center, LLC located?

China Lake Surgery Center, LLC is located at 1111 N China Lake Blvd Suite 2A, Ridgecrest, CA 93555. The listed phone number is (760) 446-8100.

What is China Lake Surgery Center, LLC's specialty?

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

Is China Lake Surgery Center, LLC enrolled in Medicare?

Yes. China Lake Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is China Lake Surgery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for China Lake Surgery Center, LLC was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.