GEM PHYSICIANS MEDICAL GROUP INC (NPI# 1689191611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689191611 |
| Entity Type | Organization |
| Organization Name | GEM PHYSICIANS MEDICAL GROUP INC |
| Other Organization Name | GMA HEALTHCARE PROVIDERS |
| Practice Address |
3737 San Dimas St Ste 101 Bakersfield CA 93301-5733 |
| Mailing Address |
4550 California Ave Ste 610 Bakersfield CA 93309-7012 |
| Practice Telephone | 6617167100 |
| Mailing Telephone | 6617167100 |
| Mailing Fax Number | 6617165484 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | CHARLES VINCENT PHILLIPS (OWNER) |
| Authorized Official Telephone | 6616650505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GEM PHYSICIANS MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| GMA Healthcare Providers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396985404 | Gem Physicians Medical Group Inc | Hospitalist | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2009-03-02 |
| Street Address |
3737 SAN DIMAS ST STE 101 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144526690 | Lucrecia S. Molina | Nurse Practitioner | 3737 San Dimas St Ste 101, Bakersfield, CA 93301-5733 | 2011-02-01 |
| 1730595042 | Uzma Yousuf | Family Medicine | 3737 San Dimas St Ste 101, Bakersfield, CA 93301 | 2014-07-08 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1992338958 | Corbow Inc | Specialist | 2813 University Ave, Bakersfield, CA 93306-1960 | 2020-02-18 |
| 1235772054 | Universal Healthcare Services, Inc. | Specialist | 2123 Niles St, Bakersfield, CA 93305 | 2019-10-24 |
| 1700333580 | Universal Urgent Care | Specialist | 2121 Niles St, Bakersfield, CA 93305-5007 | 2016-09-08 |
| 1831558543 | Erin Wells | Specialist | 7329 Hooper Ave, Bakersfield, CA 93308-3750 | 2016-02-23 |
| 1174909691 | Restore U, LLC | Specialist | 3015 Calloway Dr Ste D6d7d8, Bakersfield, CA 93312-2657 | 2015-08-06 |
| 1942619887 | John Francis Stampfli | Specialist | 306 Douglas St, Bakersfield, CA 93308-2419 | 2014-08-05 |
| 1962830547 | Ernie Diaz | Specialist | 3812 Coffee, C, Bakersfield, CA 93308 | 2013-10-17 |
| 1477803609 | Riverwalk Medical Corporation | Specialist | 5020 Commerce Dr Ste E, Bakersfield, CA 93309-0631 | 2012-09-14 |
| 1477828143 | Preferred Anesthesia Group, Inc. | Specialist | 8325 Brimhall Rd, Suite 100, Bakersfield, CA 93312-2244 | 2012-03-14 |
| 1285907444 | Judy Jewell Hilburn | Specialist | 3805 Wensley Ct, Bakersfield, CA 93311-2214 | 2012-02-20 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on GEM PHYSICIANS MEDICAL GROUP 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.