ST THERESE MEDICAL GROUP (NPI# 1962653097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962653097 |
| Entity Type | Organization |
| Organization Name | ST THERESE MEDICAL GROUP |
| Other Organization Name | TRUXTUN PSYCHIATRIC MEDICAL GROUP |
| Practice Address |
223 China Grade Loop Bakersfield CA 93308-1707 |
| Practice Telephone | 6613910316 |
| Practice Fax Number | 6613910313 |
| Mailing Telephone | 6613910316 |
| Mailing Fax Number | 6613910313 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | MRS. CINDY FERRIS (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6612157659 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A34791 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A347910 | 05 | |
| CA | NPI | 1760545974 | 01 |
| Other Name | Type Code |
|---|---|
| TRUXTUN PSYCHIATRIC MEDICAL GROUP | Former Legal Business Name - Organization |
| Street Address |
223 CHINA GRADE LOOP |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| 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 | 93308 |
Please comment or provide details below to improve the information on ST THERESE MEDICAL GROUP.
| 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.