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BAKERSFIELD DIALYSIS CENTER MED GRP NPI 1467561076


NPI Information

NPI: 1467561076
Provider Name: BAKERSFIELD DIALYSIS CENTER MED GRP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D0586559

Address:
5143 OFFICE PARK DRIVE
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 325-4741
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BAKERSFIELD DIALYSIS CENTER MED GRP is a nephrology internal medicine in Bakersfield, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. BAKERSFIELD DIALYSIS CENTER MED GRP NPI is 1467561076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5143 OFFICE PARK DRIVE
BAKERSFIELD, CA
ZIP 93309-660
Phone: (661) 325-4741
Fax: (661) 323-0566

The provider's authorized official is Mary Ann Bisogno .
The authorized official title is Business Manager and has the following contact phone number (661) 325-4741.

The CLIA number assigned to this NPI record is 05D0586559 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/15/2008.


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
1207RN0300XInternal MedicineNephrologyYes

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
1CDC 02673FMEDICAIDCALIFORNIA
2052673MEDICARE OSCAR/CERTIFICATION

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

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