AILEEN R MATUK M.D., INC (NPI# 1336363316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336363316 |
| Entity Type | Organization |
| Organization Name | AILEEN R MATUK M.D., INC |
| Practice Address |
2323 16th St Suite 500 Bakersfield CA 93301-3420 |
| Practice Telephone | 6613278651 |
| Mailing Telephone | 6613278651 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | AILEEN MATUK (OWNER) |
| Authorized Official Telephone | 6613278651 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A24584 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | 757111685 | 01 |
| CA | 00A245840 | 05 |
| Street Address |
2323 16TH ST SUITE 500 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726321 | Sherri Bergamo | Nurse Practitioner | 2323 16th St, Suite 503, Bakersfield, CA 93301-3420 | 2005-10-28 |
| 1801378609 | Penny Nichols-melton | Pharmacist | 2323 16th St, Bakersfield, CA 93301-3420 | 2018-08-29 |
| 1144773490 | Kern Surgery Center, LLC | Clinic/Center | 2323 16th St, #507, Bakersfield, CA 93301-3420 | 2016-08-03 |
| 1669846994 | Wlmg, Inc | Clinic/Center | 2323 16th St, Ste503, Bakersfield, CA 93301-3420 | 2015-11-24 |
| 1245642206 | Nicholas Gene Vanderhyde | Chiropractor | 2323 16th St, Ste 201, Bakersfield, CA 93301-3420 | 2014-05-27 |
| 1083944540 | Catalino D Dureza Md Inc | Neurological Surgery | 2323 16th St, Bakersfield, CA 93301-3420 | 2010-01-06 |
| 1053593277 | Hector De Jesus M.d., Inc | Specialist | 2323 16th St, Suite 300, Bakersfield, CA 93301-3420 | 2007-11-29 |
| 1841482759 | Shawn Hodge | Anesthesiology | 2323 16th St, Suite 504, Bakersfield, CA 93301-3420 | 2007-08-14 |
| 1558552117 | Antonia C. Chalmers, M.d., Inc. | Psychiatry & Neurology | 2323 16th St, 405, Bakersfield, CA 93301-3420 | 2007-08-07 |
| 1164624813 | Kevin D. Trinh, Md and John L. Brazill, Md, A Medical Corp. | Specialist | 2323 16th St, Suite 302, Bakersfield, CA 93301-3420 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285046136 | Hamlet Garcia-pena | General Practice | 7800 Niles Street, Bakersfield, CA 93306-4937 | 2014-05-27 |
| 1619252525 | Christopher Reade Parks | General Practice | 9450 Ming Ave., Bakersfield, CA 93311 | 2011-10-12 |
| 1942519558 | Covenant Community Medical Group, Inc. | General Practice | 3803 Union Ave, Bakersfield, CA 93305-2400 | 2010-09-29 |
| 1417165606 | Pacific Medical Group | General Practice | 3201 F St Ste 250, Bakersfield, CA 93301-1846 | 2007-05-19 |
| 1073605150 | Thomas Robert Phelps | General Practice | 2001 Old Farm Rd, Bakersfield, CA 93312-3521 | 2006-09-28 |
| 1649284670 | George Ibrahim Girgis | General Practice | 14004 Fremantle Ct, Bakersfield, CA 93314-9298 | 2006-07-27 |
| 1477598910 | Hanhey Moon | General Practice | 1491 White Lane, Bakersfield, CA 93307 | 2006-06-18 |
| 1578503256 | Ronnie Claiborne | General Practice | 1925 17th Street, Bakersfield, CA 93301-5012 | 2006-06-08 |
| 1912991233 | Jerry Lynn Seydel | General Practice | 2801 Spruce St, Bakersfield, CA 93301-1713 | 2005-08-31 |
| 1386177293 | Amna Jehan Ara Ahmed Fareedy | General Practice | 7800 Niles St, Bakersfield, CA 93306-4922 | 2017-04-07 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on AILEEN R MATUK M.D., INC.
| 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.