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BAKERSFIELD FAMILY MEDICAL GROUP NPI 1013912641


NPI Information

NPI: 1013912641
Provider Name: BAKERSFIELD FAMILY MEDICAL GROUP

Other Name: BAKERSFIELD FAMILY MEDICAL CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4580 CALIFORNIA AVE
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 327-4411
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BAKERSFIELD FAMILY MEDICAL GROUP is a multi-specialty clinic center in Bakersfield, CA. BAKERSFIELD FAMILY MEDICAL GROUP NPI is 1013912641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bakersfield Family Medical Center.

The provider's business location address is:

4580 CALIFORNIA AVE
BAKERSFIELD, CA
ZIP 93309-104
Phone: (661) 327-4411

The provider's authorized official is Ju Hwan Lee .
The authorized official title is Medical Director and has the following contact phone number (661) 327-4411.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 9/15/2009.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4208000000XPediatricsNo
5208M00000XHospitalistNo
6213E00000XPodiatristNo
7261QU0200XClinic/CenterUrgent CareNo
8261QM1300XClinic/CenterMulti-SpecialtyYes

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
1ZZZ10896ZMEDICARE PINCALIFORNIA

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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