CALIFORNIA ENT FACIAL PLASTICS INSTITUTE INC (NPI# 1720427107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720427107 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ENT FACIAL PLASTICS INSTITUTE INC |
| Practice Address |
6501 Truxtun Ave Bakersfield CA 93309-0633 |
| Practice Telephone | 6613222206 |
| Practice Fax Number | 6613277027 |
| Mailing Telephone | 6613222206 |
| Mailing Fax Number | 6613277027 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | SHERIF M AMMAR (MEDICAL DOCTOR) |
| Authorized Official Telephone | 6613222206 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
C52571 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | C52571 | 01 |
| Street Address |
6501 TRUXTUN AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933021 | Alan Cartmell | Specialist | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2005-09-27 |
| 1548802408 | Binh Thanh Nguyen | Pharmacist | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2019-10-11 |
| 1912464074 | Marc Jeremy Cruz | Nurse Practitioner | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2019-02-25 |
| 1235624412 | Cc Anesthesia, PC | Anesthesiology | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2018-06-28 |
| 1518452283 | Darren Robert Board | Physician Assistant | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2018-06-26 |
| 1497284541 | Kristi Ashley Mendez | Nurse Practitioner | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2017-06-11 |
| 1992243729 | Kern County Anesthesia Nursing Inc | Nurse Anesthetist, Certified Registered | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2017-01-31 |
| 1811357452 | Washington & Associates | Durable Medical Equipment & Medical Supplies | 6501 Truxtun Ave, Suite 800, Bakersfield, CA 93309-0633 | 2016-02-24 |
| 1134534795 | Cbcc Radiation Oncology | Specialist | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2014-06-23 |
| 1326381476 | Aubrey Stroub | Social Worker | 6501 Truxtun Ave, Bakersfield, CA 93309-0633 | 2013-03-27 |
| 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 | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613941 | Kwang Shin Hong | Otolaryngology | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
| 1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
| 1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
| 1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
| 1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
| 1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on CALIFORNIA ENT FACIAL PLASTICS INSTITUTE 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.