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MENDEZ MEDICAL CENTER INC NPI 1497900872


NPI Information

NPI: 1497900872
Provider Name: MENDEZ MEDICAL CENTER, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0951434

Address:
1420 CRESTMONT DR
SUITE A
BAKERSFIELD, CA
ZIP 93306
Phone: (661) 330-8753
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MENDEZ MEDICAL CENTER, INC is an obstetrics gynecology in Bakersfield, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MENDEZ MEDICAL CENTER, INC NPI is 1497900872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 CRESTMONT DR
SUITE A
BAKERSFIELD, CA
ZIP 93306-201
Phone: (661) 330-8753
Fax: (661) 874-2070

The provider's authorized official is Diego Mendez .
The authorized official title is Owner/president and has the following contact phone number (661) 324-5275.

The CLIA number assigned to this NPI record is 05D0951434 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 11/26/2008.


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
1207V00000XObstetrics & GynecologyA47906CALIFORNIAYes

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
100A479061MEDICAIDCALIFORNIA
2ZZZ27298ZMEDICARE PINCALIFORNIA

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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