JAN RODERICK MENSINK (NPI# 1710934864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710934864 |
| Entity Type | Individual |
| Full Name | JAN RODERICK MENSINK |
| Credential | MD |
| Practice Address |
2920 F St. Suite D7 Bakersfield CA 93301 |
| Practice Telephone | 6618713300 |
| Practice Fax Number | 6618713307 |
| Mailing Telephone | 6618713300 |
| Mailing Fax Number | 6618713307 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G58097 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G58097 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G58097 | 05 |
| Street Address |
2920 F ST. SUITE D7 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301 |
| 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 | 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 | 93301 |
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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.