SAN MICHAEL PEDIATRICS INC NPI 1821292012

NPI Information

  • NPI: 1821292012
  • Provider Name: SAN MICHAEL PEDIATRICS INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D1069541
  • Address: 3612 COFFEE RD STE C
    BAKERSFIELD, CA
    ZIP 93308
  • Phone: (661) 587-6464

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NPI Details

SAN MICHAEL PEDIATRICS INC is a primary care clinic center in Bakersfield, CA. SAN MICHAEL PEDIATRICS INC NPI is 1821292012. The provider is registered as an organization entity type.

The provider's business location address is:

3612 COFFEE RD STE C
BAKERSFIELD, CA
ZIP 93308-027
Phone: (661) 587-6464

The provider's authorized official is Emad Farid Shafic .
The authorized official title is Officer and has the following contact phone number (661) 587-6464.

The CLIA number assigned to this NPI record is 05D1069541 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareA84684CALIFORNIAYes

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: 11/21/2025

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