CALIFORNIA RETINA CONSULTANTS NPI 1083757322

NPI Information

NPI: 1083757322
Provider Name: CALIFORNIA RETINA CONSULTANTS
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
5555 BUSINESS PARK S STE 100
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 325-4393
Get Directions

CALIFORNIA RETINA CONSULTANTS is a retina specialist ophthalmology in Bakersfield, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. CALIFORNIA RETINA CONSULTANTS NPI is 1083757322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5555 BUSINESS PARK S STE 100
BAKERSFIELD, CA
ZIP 93309-678
Phone: (661) 325-4393
Fax: (661) 322-8489

The provider's authorized official is Robert L Avery .
The authorized official title is Ceo and has the following contact phone number (661) 325-4393.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/20/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ05252Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP #
2	GR0091152	MEDICAID	CALIFORNIA

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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