BAKERSFIELD FAMILY MEDICAL GROUP (NPI# 1013912641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013912641 |
Entity Type | Organization |
Organization Name | BAKERSFIELD FAMILY MEDICAL GROUP |
Other Organization Name | BAKERSFIELD FAMILY MEDICAL CENTER |
Practice Address |
4580 California Ave Bakersfield CA 93309-1104 |
Practice Telephone | 6613274411 |
Mailing Telephone | 6613274411 |
Enumeration Date | 2005-06-20 |
Last Update Date | 2009-09-15 |
Authorized Official Name | DR. JU HWAN LEE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6613274411 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | HERITAGE PROVIDER NETWORK, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BAKERSFIELD FAMILY MEDICAL CENTER | Other Name - Individual/Organization |
Street Address |
4580 CALIFORNIA AVE |
City | BAKERSFIELD |
State | CA |
Zip Code | 93309-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053926774 | Stacey Elizabeth Manohara | Registered Nurse | 4580 California Ave, Bakersfield, CA 93309-1104 | 2020-09-10 |
1972061273 | Laura Jennifer Porter | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2019-03-05 |
1558838078 | Jason Barca | Pharmacist | 4580 California Ave, Bakersfield, CA 93309-1104 | 2018-11-01 |
1578045902 | Michelle Ann Hules | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309 | 2018-09-01 |
1609376599 | Sonja Leventhal | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2018-02-16 |
1952749186 | Jeffrey Chen | Internal Medicine | 4580 California Ave, Bakersfield, CA 93309-1104 | 2013-06-10 |
1710235833 | James Michael Dooley | Physician Assistant | 4580 California Ave, Bakersfield, CA 93309-1104 | 2012-08-21 |
1194088583 | Luis Martinez Jr. | Internal Medicine | 4580 California Ave, Bakersfield, CA 93309-1104 | 2012-06-20 |
1740575018 | Fathima Abdulla Gutierrez | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2011-06-15 |
1821393232 | Anita Patel | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2011-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
Find all providers in zip 93309 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225175508 | Centre for Neuro Skills | Clinic/Center | 5215 Ashe Rd, Bakersfield, CA 93313-2069 | 2007-01-30 |
1760014658 | Bakersfield Commons Surgical Center, LLC | Clinic/Center | 2120 19th St, Bakersfield, CA 93301-3709 | 2020-02-07 |
1073094660 | Central Valley Surgical Center LLC | Clinic/Center | 2120 19th St, Bakersfield, CA 93301-3709 | 2018-08-22 |
1629504915 | Vipmd | Clinic/Center | 2901 Sillect Ave, Suite 201, Bakersfield, CA 93308-6371 | 2017-05-04 |
1922546019 | Sillect Center for Surgery LLC | Clinic/Center | 3545 San Dimas St, Bakersfield, CA 93301-1605 | 2017-02-08 |
1083971881 | Dignity Health Medical Foundation | Clinic/Center | 3838 San Dimas St, Bldg. A #200, Bakersfield, CA 93301-2284 | 2012-04-18 |
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1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
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Find all providers with the same taxonomy |
City | BAKERSFIELD |
Zip Code | 93309 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.