Organization Active NPI

Salud Y Vida Medical Group Inc

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1053713206
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA20231 Issued in CA
Legal business name
SALUD Y VIDA MEDICAL GROUP INC
Practice address
1491 White LN
Bakersfield, CA 93307-4677
Phone
(661) 835-2600
Fax
(661) 835-2603
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Denise Pitts
Title
Administrator
Phone
(661) 843-7841

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA20231 CA Primary
Internal Medicine Physician 207R00000X A42316 CA

Addresses

Primary practice location

1491 White LN
Bakersfield, CA 93307-4677

Mailing address

1491 White LN
Bakersfield, CA 93307-4677
Phone (661) 835-2600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1053713206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-835-2600",
            "fax_number": "661-835-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-835-2600",
            "fax_number": "661-835-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD Y VIDA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-843-7841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA20231",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42316",
            "primary": false
        }
    ],
    "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 Sep 18, 2014; 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.