Organization Active NPI

Central Nephrology Medical Group

  • Clinical Medical Laboratory
  • Bakersfield, CA
National Provider Identifier
1083885263
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRAL NEPHROLOGY MEDICAL GROUP
Practice address
5030 Office Park Dr
Bakersfield, CA 93309-0612
Phone
(661) 325-4754
Fax
(661) 323-0566
NPI assigned
Mar 17, 2008
Organization subpart
Yes
Parent organization
CENTRAL NEPHROLOGY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Harold J Baer, M.D.NPI 1649382920
Title
Vice President
Phone
(661) 325-4754

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5030 Office Park Dr
Bakersfield, CA 93309-0612

Mailing address

5030 Office Park Dr
Bakersfield, CA 93309-0612
Phone (661) 325-4754

Other identifiers 1

IdentifierTypeStateIssuer
LAB86566FMedicaidCA

National Provider Directory

National Provider Directory
Part of
Central Nephrology Med GRP

Locations

5030 Office Park Dr
Bakersfield, CA 93309
Phone (661) 323-2847

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1083885263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-325-4754",
            "fax_number": "661-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-325-4754",
            "fax_number": "661-323-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEPHROLOGY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL NEPHROLOGY MEDICAL GROUP",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "661-325-4754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB86566F",
            "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 Mar 17, 2008; 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.