CENTENNIAL MEDICAL GROUP INC. (NPI# 1841370368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841370368 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MEDICAL GROUP INC. |
| Practice Address |
1801 16th St # A Bakersfield CA 93301-5002 |
| Practice Telephone | 6603268989 |
| Practice Fax Number | 6613268991 |
| Mailing Telephone | 6603268989 |
| Mailing Fax Number | 6613268991 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MRS. SONIA BANDA (OFFICE MANAGER) |
| Authorized Official Telephone | 6613268989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1033365135 | Centennial Medical Group Inc. | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2008-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTENNIAL MEDICAL GROUP INC | 2700 Stewart Pkwy, Roseburg, OR 97471-1281 |
| Street Address |
1801 16TH ST # A |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5002 |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 CENTENNIAL 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.