NPIMap

Organization Active NPI

South West Pediatrics a Medical Corporation

  • Preferred Provider Organization
  • Bakersfield, CA
National Provider Identifier
1003920935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A043422 Issued in CA
Legal business name
SOUTH WEST PEDIATRICS A MEDICAL CORPORATION
Practice address
6001 BLDG. a Truxtun Avenue
Ste. 180
Bakersfield, CA 93309-0679
Phone
(661) 322-8687
Fax
(661) 325-4505
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Kristina Ann Whitmore
Title
Insurance Biller
Phone
(661) 322-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A043422 CA Primary

Addresses

Primary practice location

6001 BLDG. a Truxtun Avenue
Ste. 180
Bakersfield, CA 93309-0679

Mailing address

6001 BLDG. a Truxtun Avenue
Ste. 180
Bakersfield, CA 93309-0679
Phone (661) 322-8687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003920935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 BLDG. A TRUXTUN AVENUE",
            "address_2": "STE. 180",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-322-8687",
            "fax_number": "661-325-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 BLDG. A TRUXTUN AVENUE",
            "address_2": "STE. 180",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-322-8687",
            "fax_number": "661-325-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST PEDIATRICS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "661-322-8687",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A043422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.