Organization Active NPI

Child Neurology Center of Bakersfield

  • Epilepsy Physician
  • Bakersfield, CA
National Provider Identifier
1033849344
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
Legal business name
CHILD NEUROLOGY CENTER OF BAKERSFIELD
Practice address
5701 Young St Ste 203
Bakersfield, CA 93311-8897
Phone
(661) 742-8436
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Dr. Raymund Roque David, MDNPI 1346216652
Title
Ceo
Phone
(559) 718-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084E0001X Primary

Addresses

Primary practice location

5701 Young St Ste 203
Bakersfield, CA 93311-8897

Mailing address

PO Box 20787
Bakersfield, CA 93390-0787
Phone (661) 742-8436

National Provider Directory

National Provider Directory

Locations

5701 Young St
Bldg C203
Bakersfield, CA 93311

5701 Young St
Ste 203
Bakersfield, CA 93311
Phone (661) 742-8436

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1033849344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20787",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900787",
            "telephone_number": "661-742-8436",
            "fax_number": "661-999-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 YOUNG ST STE 203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118897",
            "telephone_number": "661-742-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY CENTER OF BAKERSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_middle_name": "ROQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-718-6929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": null,
            "license": null,
            "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 Jun 10, 2022; 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.