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ENVISTA MEDICAL NECK AND BACK CENTER P.C. NPI 1174802532


NPI Information

NPI: 1174802532
Provider Name: ENVISTA MEDICAL NECK AND BACK CENTER, P.C.

Former Legal Business Name: M TERESA SWIDA MEDICAL PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3900 COFFEE RD
SUITE 3
BAKERSFIELD, CA
ZIP 93308
Phone: (661) 587-0700
Get Directions

ENVISTA MEDICAL NECK AND BACK CENTER, P.C. is a family medicine in Bakersfield, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ENVISTA MEDICAL NECK AND BACK CENTER, P.C. NPI is 1174802532. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is M Teresa Swida Medical Pc.

The provider's business location address is:

3900 COFFEE RD
SUITE 3
BAKERSFIELD, CA
ZIP 93308-049
Phone: (661) 587-0700
Fax: (661) 587-9131

The provider's authorized official is Cheryl Anders .
The authorized official title is Credentialing Dept. and has the following contact phone number (661) 587-0700.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 1/30/2019.


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
1111N00000XChiropractorDC22958CALIFORNIANo
2111N00000XChiropractorDC30545CALIFORNIANo
3111N00000XChiropractorDC30202CALIFORNIANo
4111N00000XChiropractorDC13886CALIFORNIANo
5207LP2900XAnesthesiologyPain MedicineNo
6207Q00000XFamily Medicine20A6314CALIFORNIAYes
7363AM0700XPhysician AssistantMedicalPA17041CALIFORNIANo

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
11174802532OTHERCALIFORNIAGROUP NPI
2ZZZ69252ZOTHERCALIFORNIABLUE SHIELD OF 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.