Organization Active NPI

Yadwin Medical

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1063890770
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YADWIN MEDICAL
Practice address
9904 Vertrice Ave
Bakersfield, CA 93311-9359
Phone
(661) 634-0955
Fax
(661) 634-9662
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Yadwinder Singh Kang, MDNPI 1316234941
Title
MD
Phone
(661) 634-0955

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9904 Vertrice Ave
Bakersfield, CA 93311-9359

Mailing address

9904 Vertrice Ave
Bakersfield, CA 93311-9359
Phone (661) 634-0955

Other identifiers 1

IdentifierTypeStateIssuer
A117812MedicaidCA

National Provider Directory

National Provider Directory

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1063890770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 VERTRICE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119359",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 VERTRICE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119359",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADWIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YADWINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "661-634-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A117812",
            "state": "CA"
        }
    ],
    "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 May 13, 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.