Organization Active NPI

Gregory G Williams MD Inc a Medical Corporation

  • Medical Specialty Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1053508176
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G73172 Issued in CA
Legal business name
GREGORY G WILLIAMS MD INC A MEDICAL CORPORATION
Practice address
1500 Haggin Oaks Blvd
202
Bakersfield, CA 93311-1333
Phone
(661) 654-8346
Fax
(661) 654-8337
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Gregory Grant Williams, MD
Title
Owner
Phone
(661) 654-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G73172 CA Primary

Addresses

Primary practice location

1500 Haggin Oaks Blvd
202
Bakersfield, CA 93311-1333

Mailing address

1500 Haggin Oaks Blvd
202
Bakersfield, CA 93311-1333
Phone (661) 654-8346

Other identifiers 1

IdentifierTypeStateIssuer
1699795088OtherTYPE 1 NPI

Other names 1

  • south valley vein center Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Haggin Oaks Blvd
Ste 202
Bakersfield, CA 93311
Phone (661) 654-8346

2205 19th St
Bakersfield, CA 93301
Phone (661) 324-8346

1500 Haggin Oaks Blvd
Bakersfield, CA 93311
Phone (661) 654-8346

Practitioners & affiliated clinicians

Practitioners 1

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1053508176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HAGGIN OAKS BLVD",
            "address_2": "202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111333",
            "telephone_number": "661-654-8346",
            "fax_number": "661-654-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HAGGIN OAKS BLVD",
            "address_2": "202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111333",
            "telephone_number": "661-654-8346",
            "fax_number": "661-654-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G WILLIAMS MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-654-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G73172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1699795088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south valley vein center",
            "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 Oct 13, 2011; 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.