JOHN L ETCHEVERRY DPM INC (NPI# 1548588270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548588270 |
| Entity Type | Organization |
| Organization Name | JOHN L ETCHEVERRY DPM INC |
| Practice Address |
2400 Bahamas Dr 200 Bakersfield CA 93309-0745 |
| Mailing Address |
6815 Noble Ave Van Nuys CA 91405-3796 |
| Practice Telephone | 6613285565 |
| Practice Fax Number | 8189977826 |
| Mailing Telephone | 8189016600 |
| Mailing Fax Number | 8189977826 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | JOHN L ETCHEVERRY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8189016600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4099 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | E4099 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | 6407390001 | 01 |
| CA | NPI | 1760573745 | 01 |
| Street Address |
2400 BAHAMAS DR 200 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
| 1891255394 | Regents of The University of California | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2019-03-21 |
| 1063962025 | Kimberly Keathley | Physical Therapist | 2400 Bahamas Dr, 100, Bakersfield, CA 93309-0745 | 2016-10-13 |
| 1023464633 | Alexandra K. Valos | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2016-05-12 |
| 1518208081 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2013-03-08 |
| 1952653818 | Carrie Alejandro | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2012-10-02 |
| 1831339944 | Shelby Bentz M.d. Inc | Anesthesiology | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2009-03-02 |
| 1730335548 | David Kamil Wahba | Anesthesiology | 2400 Bahamas Dr, Suite 200, Bakersfield, CA 93309-0745 | 2008-08-12 |
| 1013179712 | Fadi S Saied | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2008-06-25 |
| 1811161078 | Tamara L Billings | Physical Therapist | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2008-04-18 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232886 | E.r.f. Incorporated | Durable Medical Equipment & Medical Supplies | 1121 W Columbus St Ste A, Bakersfield, CA 93301-1105 | 2020-07-19 |
| 1376173963 | Super Care Inc | Durable Medical Equipment & Medical Supplies | 3335 Pegasus Dr, Suite 308, Bakersfield, CA 93308-7031 | 2020-01-22 |
| 1417501032 | Mrld Medical | Durable Medical Equipment & Medical Supplies | 2100 24th St Ste 4, Bakersfield, CA 93301-3746 | 2019-07-31 |
| 1700448545 | Strive Medical, LLC | Durable Medical Equipment & Medical Supplies | 5500 Ming Ave Ste 395, Bakersfield, CA 93309-4689 | 2019-07-02 |
| 1437716008 | Mak Med LLC | Durable Medical Equipment & Medical Supplies | 1400 Easton Dr Ste 110, Bakersfield, CA 93309-9403 | 2019-05-20 |
| 1578020871 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 2341 Cepheus Ct, Bakersfield, CA 93308-6944 | 2019-02-23 |
| 1639635451 | People's Pharmacy # 3 | Durable Medical Equipment & Medical Supplies | 4813 Coffee Rd Ste 300, Bakersfield, CA 93308-9473 | 2019-02-17 |
| 1700357068 | Lags Spine and Sportscare Medical Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3550 Q St Ste 105, Bakersfield, CA 93301-1645 | 2018-12-16 |
| 1841797628 | Premier Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4709 Kimber Ave, Bakersfield, CA 93307-6813 | 2018-04-09 |
| 1669919791 | Badri Inc | Durable Medical Equipment & Medical Supplies | 5913 Niles St Ste 2, Bakersfield, CA 93306-7407 | 2017-01-26 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on JOHN L ETCHEVERRY DPM 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.