Organization Active NPI

Valley Medical Group of Kern County, Inc

  • Primary Care Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1013063015
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A429860 Issued in CA
Legal business name
VALLEY MEDICAL GROUP OF KERN COUNTY, INC
Practice address
5401 White LN
Bakersfield, CA 93309-6279
Phone
(661) 836-4000
Fax
(661) 847-4097
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Claudia Fuentes
Title
Business Office Manager
Phone
(661) 836-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A429860 CA Primary

Addresses

Primary practice location

5401 White LN
Bakersfield, CA 93309-6279

Mailing address

PO Box 11510
Bakersfield, CA 93389-1510
Phone (661) 836-4000

Other identifiers 3

IdentifierTypeStateIssuer
5402560001OtherCANORIDIAN MEDICARE
GR0084020MedicaidCA
DA7903OtherCAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013063015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11510",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933891510",
            "telephone_number": "661-836-4000",
            "fax_number": "661-847-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-836-4000",
            "fax_number": "661-847-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL GROUP OF KERN COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "661-836-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A429860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN MEDICARE",
            "identifier": "5402560001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA7903",
            "state": "CA"
        }
    ],
    "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 Jun 19, 2008; 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.