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CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP NPI 1407956899


NPI Information

NPI: 1407956899
Provider Name: CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3838 SAN DIMAS ST
SUITE A-100
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 327-8538
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CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP is a vascular surgery surgery in Bakersfield, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP NPI is 1407956899. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3838 SAN DIMAS ST
SUITE A-100
BAKERSFIELD, CA
ZIP 93301-284
Phone: (661) 327-8538
Fax: (661) 327-5432

The provider's authorized official is Venessa L Griffin .
The authorized official title is Business Office Manager and has the following contact phone number (661) 327-8538.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 4/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
22086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MMM00258MMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP NUMBER
2GR0060120MEDICAIDCALIFORNIA
3ZZZ42099ZOTHERBLUE SHIELD GROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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