MR. GEO T MATHEW (NPI# 1215990205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215990205 |
| Entity Type | Individual |
| Full Name | MR. GEO T MATHEW |
| Credential | PA-C |
| Practice Address |
1408 Commercial Way Bakersfield CA 93309-0407 |
| Practice Telephone | 6613274455 |
| Practice Fax Number | 6616335484 |
| Mailing Telephone | 6613274455 |
| Mailing Fax Number | 6616335484 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA14627 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA0146270 | 05 |
| Street Address |
1408 COMMERCIAL WAY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558324913 | Ivaylo A Vagliarsky | Specialist | 1408 Commercial Way, Bakersfield, CA 93309-0407 | 2006-04-07 |
| 1639613763 | Cascade Health Partners, LLC | Clinic/Center | 1408 Commercial Way, Ste. D, Bakersfield, CA 93309-0407 | 2016-12-08 |
| 1740722453 | Oak Hills Medical Corporation | Registered Nurse | 1408 Commercial Way, Ste. A, Bakersfield, CA 93309-0407 | 2016-11-11 |
| 1891913612 | Silver Summit Medical Corporation | Specialist | 1408 Commercial Way, Bakersfield, CA 93309-0407 | 2007-04-24 |
| 1679791404 | Silver Summit Medical Corporation | Specialist | 1408 Commercial Way, Bakersfield, CA 93309-0407 | 2007-04-24 |
| 1174586531 | Ramesh Chander Gupta | Specialist | 1408 Commercial Way, Bakersfield, CA 93309 | 2006-04-07 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194074948 | Braden Michael Bowles | Physician Assistant | 8327 Brimhall Rd Ste 702, Bakersfield, CA 93312-4051 | 2012-09-06 |
| 1477852424 | Aide Brito-nadjmabadi | Physician Assistant | 10300 Finchley Dr, Bakersfield, CA 93311-3506 | 2011-03-16 |
| 1073825519 | Jason Arthington | Physician Assistant | 701 Francis St, Bakersfield, CA 93308-2803 | 2010-07-13 |
| 1447483318 | Stephanie Ann Foe | Physician Assistant | 5900 Alfred Harrell Hwy, Bakersfield, CA 93308-9651 | 2009-08-26 |
| 1194980920 | Amandeep Kaur | Physician Assistant | 3940 San Dimas St, Bakersfield, CA 93301-1458 | 2008-07-21 |
| 1174657514 | Eural E. Gordon | Physician Assistant | 7400 District Blvd Ste C, Bakersfield, CA 93313-4818 | 2007-03-16 |
| 1043245418 | Rebecca Jane Jett | Physician Assistant | 9001 S H St, Bakersfield, CA 93307-5948 | 2006-07-12 |
| 1790710655 | Stephen H Hanson | Physician Assistant | 9530 Hageman Rd B-204, California Pa Staffing Inc, Bakersfield, CA 93312-3959 | 2006-07-11 |
| 1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
| 1306819552 | Mukesh Patel | Physician Assistant | 3008 Sillect Ave Ste 100, Bakersfield, CA 93308-6360 | 2006-02-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on MR. GEO T MATHEW.
| 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.