GLEN MICHAEL ENRIQUEZ CAPULONG (NPI# 1407173388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407173388 |
| Entity Type | Individual |
| Full Name | GLEN MICHAEL ENRIQUEZ CAPULONG |
| Credential | MD |
| Practice Address |
8800 Ming Ave Bakersfield CA 93311-1308 |
| Practice Telephone | 6616646795 |
| Practice Fax Number | 6616643727 |
| Mailing Telephone | 6616646795 |
| Mailing Fax Number | 6616643727 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A125650 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8800 MING AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268455 | Kyaw Tun | Health Maintenance Organization | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2006-03-09 |
| 1225646862 | Monique Hernandez | Social Worker | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2020-07-20 |
| 1700311347 | Gioconda Burdick | Health Educator | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2017-04-20 |
| 1841724374 | Silvia E Becerra | Dietitian, Registered | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2017-04-11 |
| 1528591286 | Sarah Hernandez | Dietitian, Registered | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2017-04-09 |
| 1780124438 | Tamara Brant | Pharmacist | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2017-02-28 |
| 1750754412 | Gail Marie Mcgill | Pharmacist | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2015-11-03 |
| 1245679554 | Tahmina Rahman | Family Medicine | 8800 Ming Ave, Bakersfield, CA 93311-6617 | 2013-06-19 |
| 1528324407 | Rolando Macias | Pediatrics | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2012-04-05 |
| 1386922011 | Aye Thida Lin | Family Medicine | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1265068092 | Universal Healthcare Services, Inc. | Family Medicine | 2123 Niles Street, Bakersfield, CA 93305-5007 | 2020-03-12 |
| 1326693524 | Yaqsa, Inc. | Family Medicine | 4040 San Dimas St Ste A, Bakersfield, CA 93301-1299 | 2019-08-05 |
| 1477117240 | Kristi Sakamoto | Family Medicine | 9330 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3615 | 2019-04-26 |
| 1568928471 | Natalia Obando Cabrejo | Family Medicine | 9880 Brimhall Rd Unit 100, Bakersfield, CA 93312-2799 | 2019-02-15 |
| 1538623541 | Universal Healthcare Services, Inc. | Family Medicine | 8325 Brimhall Rd Ste 100a, Bakersfield, CA 93312-2244 | 2019-01-23 |
| 1508320797 | Universal Healthcare Services, Inc. | Family Medicine | 2734 Ming Ave, Bakersfield, CA 93304-4431 | 2019-01-22 |
| 1023502853 | Kendall Christine Lubatti | Family Medicine | 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312-4343 | 2018-06-15 |
| 1588153126 | Infusion and Clinical Services, Inc | Family Medicine | 5401 White Ln Ste A, Bakersfield, CA 93309-6279 | 2018-05-09 |
| 1629576384 | Universal Urgent Care, PC | Family Medicine | 2728 Ming Ave, Bakersfield, CA 93304-4431 | 2018-01-29 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.