DIANA WARREN, D.O., P.C. (NPI# 1669544193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669544193 |
Entity Type | Organization |
Organization Name | DIANA WARREN, D.O., P.C. |
Practice Address |
4580 California Ave Bakersfield CA 93309-1104 |
Practice Telephone | 6613274411 |
Mailing Telephone | 6613274411 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2010-09-17 |
Authorized Official Name | MRS. DIANA WALDROP WARREN (OWNER) |
Authorized Official Telephone | 6614127784 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
DO523 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | 20A11316 | 01 |
AL | 051516753 | 05 |
Street Address |
4580 CALIFORNIA AVE |
City | BAKERSFIELD |
State | CA |
Zip Code | 93309-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013912641 | Bakersfield Family Medical Group | Family Medicine | 4580 California Ave, Bakersfield, CA 93309-1104 | 2005-06-20 |
1053926774 | Stacey Elizabeth Manohara | Registered Nurse | 4580 California Ave, Bakersfield, CA 93309-1104 | 2020-09-10 |
1972061273 | Laura Jennifer Porter | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2019-03-05 |
1558838078 | Jason Barca | Pharmacist | 4580 California Ave, Bakersfield, CA 93309-1104 | 2018-11-01 |
1578045902 | Michelle Ann Hules | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309 | 2018-09-01 |
1609376599 | Sonja Leventhal | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2018-02-16 |
1952749186 | Jeffrey Chen | Internal Medicine | 4580 California Ave, Bakersfield, CA 93309-1104 | 2013-06-10 |
1710235833 | James Michael Dooley | Physician Assistant | 4580 California Ave, Bakersfield, CA 93309-1104 | 2012-08-21 |
1194088583 | Luis Martinez Jr. | Internal Medicine | 4580 California Ave, Bakersfield, CA 93309-1104 | 2012-06-20 |
1740575018 | Fathima Abdulla Gutierrez | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2011-06-15 |
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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 |
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Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
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City | BAKERSFIELD |
Zip Code | 93309 |
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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.