NPIMap

Organization Active NPI

Qualcare, Inc.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1013493758
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUALCARE, INC.
Practice address
3008 Sillect Ave Ste 100
Bakersfield, CA 93308-6360
Phone
(661) 371-2790
Fax
(661) 371-3498
NPI assigned
Jul 16, 2018
Organization subpart
Yes
Parent organization
QUALCARE , INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Edward L Nichols
Title
President
Phone
(661) 323-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3008 Sillect Ave Ste 100
Bakersfield, CA 93308-6360

Mailing address

5080 California Ave Ste 415
Bakersfield, CA 93309-1994
Phone (661) 371-2790

Other names 1

  • QUALCARE WELLNESS CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Qualcare Inc2 organizations share this tax ID, including this one
Part of
Qualcare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5080 California Ave
Ste 415
Bakersfield, CA 93309
Phone (661) 371-2790

2901 Sillect Ave
Ste 102
Bakersfield, CA 93308

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1013493758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 CALIFORNIA AVE STE 415",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091994",
            "telephone_number": "661-371-2790",
            "fax_number": "661-371-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SILLECT AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086360",
            "telephone_number": "661-371-2790",
            "fax_number": "661-371-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALCARE , INC.",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-323-8477"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALCARE WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2021; 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.