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COMPREHENSIVE CARE CLINIC MEDICAL CORPORATION NPI 1396873964


NPI Information

NPI: 1396873964
Provider Name: COMPREHENSIVE CARE CLINIC MEDICAL CORPORATION
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0979406

Address:
2615 H ST
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 665-8656
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COMPREHENSIVE CARE CLINIC MEDICAL CORPORATION is an internal medicine in Bakersfield, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COMPREHENSIVE CARE CLINIC MEDICAL CORPORATION NPI is 1396873964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2615 H ST
BAKERSFIELD, CA
ZIP 93301-819
Phone: (661) 665-8656

The provider's authorized official is Raju B Patel .
The authorized official title is Physician and has the following contact phone number (661) 635-3000.

The CLIA number assigned to this NPI record is 05D0979406 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 2/10/2014.


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 Medicine00A632290CALIFORNIANo
2207R00000XInternal Medicine00A512800CALIFORNIAYes

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
100A632290MEDICAIDCALIFORNIA
200A512800MEDICAIDCALIFORNIA
3F53915MEDICARE UPINCALIFORNIA
4G70448MEDICARE UPINCALIFORNIA

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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