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TEHACHAPI MEDICAL CLINIC NPI 1538285697


NPI Information

NPI: 1538285697
Provider Name: TEHACHAPI MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1001 W TEHACHAPI BLVD
SUITE A-100
TEHACHAPI, CA
ZIP 93561
Phone: (661) 822-2530
Get Directions

TEHACHAPI MEDICAL CLINIC is a family medicine in Tehachapi, 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. TEHACHAPI MEDICAL CLINIC NPI is 1538285697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 W TEHACHAPI BLVD
SUITE A-100
TEHACHAPI, CA
ZIP 93561-532
Phone: (661) 822-2530
Fax: (661) 822-2536

The provider's authorized official is Mark Alan Pesche .
The authorized official title is President and has the following contact phone number (661) 822-2530.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 11/24/2007.


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 Medicine20A5732CALIFORNIAYes

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
1020A57320MEDICARE ID-TYPE UNSPECIFIED
2D16143MEDICARE 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: 11/14/2023

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