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CENTRAL NEPHROLOGY MEDICAL GRP INC NPI 1750450698


NPI Information

NPI: 1750450698
Provider Name: CENTRAL NEPHROLOGY MEDICAL GRP INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
5030 OFFICE PARK DRIVE
SUITE A
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 323-2847
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CENTRAL NEPHROLOGY MEDICAL GRP INC 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. CENTRAL NEPHROLOGY MEDICAL GRP INC NPI is 1750450698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5030 OFFICE PARK DRIVE
SUITE A
BAKERSFIELD, CA
ZIP 93309-612
Phone: (661) 323-2847
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) 323-2847.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.


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
1ZZZ74656ZMEDICAIDCALIFORNIA

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: 4/28/2024

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