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CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP NPI 1033146998


NPI Information

NPI: 1033146998
Provider Name: CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization

CLIA Number: 05D2061815

Address:
4100 TRUXTUN AVE STE 200
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 632-1540
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CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP is a neuromusculoskeletal medicine sports medicine in Bakersfield, CA. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP NPI is 1033146998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4100 TRUXTUN AVE STE 200
BAKERSFIELD, CA
ZIP 93309-656
Phone: (661) 632-1540
Fax: (661) 632-1538

The provider's authorized official is Alejandra Benavides .
The authorized official title is Administrative Manager and has the following contact phone number (661) 632-1540.

The CLIA number assigned to this NPI record is 05D2061815 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/22/2020.


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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineA31892CALIFORNIAYes

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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