ST THERESE MEDICAL GROUP NPI 1962653097

NPI Information

  • NPI: 1962653097
  • Provider Name: ST THERESE MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: TRUXTUN PSYCHIATRIC MEDICAL GROUP
  • Address: 223 CHINA GRADE LOOP
    BAKERSFIELD, CA
    ZIP 93308
  • Phone: (661) 391-0316

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NPI Details

ST THERESE MEDICAL GROUP is a specialist in Bakersfield, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ST THERESE MEDICAL GROUP NPI is 1962653097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Truxtun Psychiatric Medical Group.

The provider's business location address is:

223 CHINA GRADE LOOP
BAKERSFIELD, CA
ZIP 93308-707
Phone: (661) 391-0316
Fax: (661) 391-0313

The provider's authorized official is Cindy Ferris .
The authorized official title is Clinic Administrator and has the following contact phone number (661) 215-7659.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA34791CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760545974OTHERCALIFORNIANPI
2A88264MEDICARE UPINCALIFORNIA
300A347910MEDICAIDCALIFORNIA

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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