Rio Bravo Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54566 Issued in CA

Legal business name

RIO BRAVO FAMILY MEDICINE INC

Practice address

2601 Oswell St
Suite 101
Bakersfield, CA 93306-3156

Phone

(661) 872-1000

Fax

(661) 873-8003

NPI assigned

Jan 14, 2010

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Moore, M.D.NPI 1184647349

Title

President

Phone

(661) 872-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Moore

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1184647349
  Authorized official Same address or phone

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1033440003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60185",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933860185",
            "telephone_number": "661-872-1000",
            "fax_number": "661-873-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OSWELL ST",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063156",
            "telephone_number": "661-872-1000",
            "fax_number": "661-873-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO BRAVO FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-872-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rincon Perez
• Elizabeth Rincon
• Dan Ringle, DNP, CRNA
• Danielle Ringle, OD
• Rio Bravo Congregate Living, Inc.
• Rio Bravo Oncology Inc.
• Rio Bravo-Greeley Union Elementary School District
• Lizeth Carolina Rios Vasquez
• Araceli Gaona Rios, APCC
• Manual Rios

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.