DR. FERNANDO SERGIO PRUNES (NPI# 1275567059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275567059 |
| Entity Type | Individual |
| Full Name | DR. FERNANDO SERGIO PRUNES |
| Credential | MD |
| Practice Address |
2201 Mt Vernon Ave Ste 211 Bakersfield CA 93306 |
| Mailing Address |
Po Box 60159 Bakersfield CA 93386 |
| Practice Telephone | 6618727000 |
| Practice Fax Number | 6618720499 |
| Mailing Telephone | 6618727000 |
| Mailing Fax Number | 6618720499 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A40476 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A404760 | 05 |
| Street Address |
2201 MT VERNON AVE STE 211 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023042884 | Suresh Kumari | Pediatrics | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-10 |
| 1891706990 | James Arnold Sproul | Family Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-08-11 |
| 1174546006 | Kern Faculty Medical Group | Internal Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-25 |
| 1265467583 | Cary Hatton Freeman | Ophthalmology | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1427083740 | William Joseph Meyer | Neurological Surgery | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1336174655 | Royce Harwood Johnson | Internal Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1245265560 | Richard Frederick Busch | Otolaryngology | 2201 Mt Vernon Ave, Suite 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1205861523 | Augustine Delgado Munoz | Internal Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1477587244 | Sue Pursavat Poh | Pediatrics | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-10 |
| 1629002407 | Alan Scott Ragland | Internal Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521298 | Narayanan Madhavan Nair | Plastic Surgery | 2901 Sillect Ave Ste 203, Bakersfield, CA 93308-6373 | 2009-07-20 |
| 1407937675 | Gordon Murray Mitts | Plastic Surgery | 2525 H St, Bakersfield, CA 93301-2817 | 2006-10-17 |
| 1801909148 | Gerhard Schmidt | Plastic Surgery | 2400 Wible Road, Ste 14, Bakersfield, CA 93304 | 2006-08-17 |
| 1023309051 | Chinwe Sonia Kpaduwa | Plastic Surgery | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2011-04-25 |
| 1518279900 | M. Brandon Freeman, Md, Phd, PC | Plastic Surgery | 2701 Chester Ave, Ste 103, Bakersfield, CA 93301-2016 | 2010-07-14 |
| 1336378231 | G. M. Mitts, M. D. Inc | Plastic Surgery | 2525 H St, Bakersfield, CA 93301-2817 | 2009-07-13 |
| 1770789448 | Michael Brandon Freeman | Plastic Surgery | 1700 Mt. Vernon Ave., Bakersfield, CA 93306-4018 | 2007-06-21 |
| 1750446159 | Darshan R Shah | Plastic Surgery | 4850 Commerce Dr, Bakersfield, CA 93309-0415 | 2006-12-26 |
| 1891702122 | Vipul Raman Dev | Plastic Surgery | 2901 Sillect Ave, Suite 201, Bakersfield, CA 93308-6371 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.