Ronnie Claiborne M.D. a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G66649 Issued in CA

Legal business name

RONNIE CLAIBORNE M.D. A PROFESSIONAL CORPORATION

Practice address

1925 17TH St
Bakersfield, CA 93301-4201

Phone

(661) 323-2295

Fax

(661) 323-8040

NPI assigned

Mar 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronnie Claiborne, M.D.NPI 1578503256

Title

President

Phone

(661) 323-2295

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Central Valley Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronnie Claiborne, M.D.

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1578503256
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory S. Baker, P.A.-C.

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1205924222
  Medicare reassignment Care Compare group
• Hugh B Beatty, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bakersfield, CA
  • NPI 1548239601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1003057498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014201",
            "telephone_number": "661-323-2295",
            "fax_number": "661-323-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014201",
            "telephone_number": "661-323-2295",
            "fax_number": "661-323-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE CLAIBORNE M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "CLAIBORNE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-323-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G66649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666491",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578503256",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.