BAKERSFIELD FAMILY MEDICAL GROUP


Address: 4580 California Ave, Bakersfield, CA 93309-1104
Phone: 6613274411

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
BAKERSFIELD FAMILY MEDICAL CENTER Other Name - Individual/Organization

Office Location

Street Address 4580 CALIFORNIA AVE
City BAKERSFIELD
State CA
Zip Code 93309-1104

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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1982211835 Crossover Health Medical Group Clinic/Center 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 2020-09-24
1982211843 Crossover Health Medical Group Clinic/Center 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 2020-09-24
1164039020 Crossover Health Medical Group Clinic/Center 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 2020-09-24
1104432673 Aleracare Medical Group of California Clinic/Center 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 2020-09-21
1205447687 Shawn Richard Oneill Clinic/Center 5979 Trotters Ln, Alta Loma, CA 91701-2644 2020-08-11
1134738032 Healthworks Med Group of California A Medical Corporation Clinic/Center 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 2020-07-27
1437767951 Miro Health Clinic/Center 260 King St Unit 1505, San Francisco, CA 94107-6415 2020-07-21
1598383895 Alacrity Patient Services, Inc. Clinic/Center 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 2020-07-13
1306464979 Aleracare Medical Group of California Clinic/Center 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 2020-07-10
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Competitor

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City BAKERSFIELD
Zip Code 93309

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Dataset Information

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.

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