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POLYCLINIC MEDICAL CENTER INC. NPI 1750308656


NPI Information

NPI: 1750308656
Provider Name: POLYCLINIC MEDICAL CENTER, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0699700

Address:
2145 NILES ST
BAKERSFIELD, CA
ZIP 93305
Phone: (661) 327-5984
Get Directions

POLYCLINIC MEDICAL CENTER, INC. is a family medicine in Bakersfield, 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. POLYCLINIC MEDICAL CENTER, INC. NPI is 1750308656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2145 NILES ST
BAKERSFIELD, CA
ZIP 93305-007
Phone: (661) 327-5984
Fax: (661) 327-2541

The provider's authorized official is Kamrun P Naher .
The authorized official title is Director and has the following contact phone number (661) 327-5984.

The CLIA number assigned to this NPI record is 05D0699700 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/31/2019.


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 MedicineCMM70507HCALIFORNIAYes

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
1CMM70507HMEDICAIDCALIFORNIA

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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