Active NPI
Kic 2
- Infusion Therapy Clinic/Center
- Bakersfield, CA
National Provider Identifier
1104476480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- KIC 2
- Practice address
- 6313 Schirra CT Ste A1
Bakersfield, CA 93313-2191 - Phone
- (480) 331-4222
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonny Diaz
- Title
- Administrator
- Phone
- (480) 874-7012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
6313 Schirra CT Ste A1
Bakersfield, CA 93313-2191
Mailing address
3724 N 3Rd St # 201
Phoenix, AZ 85012-2034
Phone (602) 344-9850
National Provider Directory
National Provider DirectoryLocations
3724 N 3rd St
Ste 201
Phoenix, AZ 85012
Phone (480) 788-8539
6313 Schirra Ct
Ste A1
Bakersfield, CA 93313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1548267131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1104476480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 N 3RD ST # 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122034",
"telephone_number": "602-344-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6313 SCHIRRA CT STE A1",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933132191",
"telephone_number": "480-331-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIC 2",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "SONNY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-874-7012"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.