Organization Active NPI

Baum 5 Star Healthcare

  • Adult Medicine Physician
  • Hanford, CA
National Provider Identifier
1083277206
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BAUM 5 STAR HEALTHCARE
Practice address
560 W Grangeville Blvd Ste a
Hanford, CA 93230-2858
Phone
(559) 408-5533
Fax
(800) 827-1977
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Manivanh Baum, P.A.
Title
Provider
Phone
(559) 408-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

560 W Grangeville Blvd Ste a
Hanford, CA 93230-2858

Mailing address

560 W Grangeville Blvd Ste a
Hanford, CA 93230-2858
Phone (559) 408-5533

Other names 1

  • Baum 5 Star Healthcare Doing business as

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": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1083277206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD STE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302858",
            "telephone_number": "559-408-5533",
            "fax_number": "800-827-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD STE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302858",
            "telephone_number": "559-408-5533",
            "fax_number": "800-827-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUM 5 STAR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "MANIVANH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "559-408-5533",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baum 5 Star Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.