DR. TED T PEDERSEN (NPI# 1821138330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821138330 |
| Entity Type | Individual |
| Full Name | DR. TED T PEDERSEN |
| Credential | D.C. |
| Practice Address |
3900 Truxtun Ave Bakersfield CA 93309-0600 |
| Mailing Address |
Po Box 9399 Bakersfield CA 93389-9399 |
| Practice Telephone | 6613254446 |
| Practice Fax Number | 6613229313 |
| Mailing Telephone | 6613254446 |
| Mailing Fax Number | 6613229313 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 155260 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FED ID NUMBER | 77-112765 | 01 |
| Street Address |
3900 TRUXTUN AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447287420 | Phan T Huynh | Chiropractor | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2006-06-27 |
| 1912364399 | Bakersfield Family Chiropractic, Perry Chiropractic, Inc. | Chiropractor | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2016-01-15 |
| 1861759557 | Tatsuno Chiropracitc Inc | Chiropractor | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2012-04-18 |
| 1386943017 | Matthew George Tatsuno | Chiropractor | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2011-03-21 |
| 1932412244 | Hee Woo Park | Acupuncturist | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2010-07-16 |
| 1184773715 | Larry Morris Kinoshita | Chiropractor | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2007-01-10 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413416 | Graham Chiropractic Inc | Chiropractor | 1400 Calloway Dr Ste 201, Bakersfield, CA 93312-2842 | 2020-03-24 |
| 1114551413 | Herrera Sabol & Walker Chiropractic Inc | Chiropractor | 3015 Calloway Dr Ste D6, Bakersfield, CA 93312-2657 | 2020-02-25 |
| 1093294696 | Superior Healthcare, Inc. | Chiropractor | 5500 Ming Ave Ste 170, Bakersfield, CA 93309-4623 | 2018-08-14 |
| 1447611421 | George Boghozian | Chiropractor | 9730 Brimhall Rd Ste 3, Bakersfield, CA 93312-2786 | 2016-03-17 |
| 1477946234 | Joel Wendell Huff | Chiropractor | 9800 Harvey Ct, Bakersfield, CA 93312-2876 | 2015-03-17 |
| 1225421720 | Dorian Chiropractic Corporation | Chiropractor | 2935 Oswell St, Bakersfield, CA 93306-2705 | 2015-03-09 |
| 1063764066 | Ronald Wedemeyer Professional Chiropractic Corporation | Chiropractor | 7800 Meany Ave, Suite B, Bakersfield, CA 93308-5005 | 2012-10-15 |
| 1437409745 | Tracy Mcintosh | Chiropractor | 4644 California Ave, Bakersfield, CA 93309-1191 | 2012-09-13 |
| 1396018271 | Eoh Professional Chiropractic Corporation | Chiropractor | 2920 F St Ste C5, Bakersfield, CA 93301-1829 | 2012-02-22 |
| 1972883999 | Nicholas Charles Braaten | Chiropractor | 1001 Tower Way Ste 130, Bakersfield, CA 93309-1586 | 2011-08-22 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on DR. TED T PEDERSEN.
| 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.