PACIFIC MEDICAL GROUP NPI 1417165606

NPI Information

NPI: 1417165606
Provider Name: PACIFIC MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3201 F ST STE 250
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 322-7500
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PACIFIC MEDICAL GROUP is a general practice in Bakersfield, CA. PACIFIC MEDICAL GROUP NPI is 1417165606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3201 F ST STE 250
BAKERSFIELD, CA
ZIP 93301-846
Phone: (661) 322-7500
Fax: (661) 322-7510

The provider's authorized official is Jeffrey Edwards .
The authorized official title is President and has the following contact phone number (661) 322-7500.

The enumeration date for this NPI number is 5/19/2007 and was last updated on 4/22/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		00G436350	CALIFORNIA	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	ZZZ01619Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER #

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

NPI Synchronization or Removal

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