Organization Active NPI

Golden Empire Cardiology, a Medical Group, Inc

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1104878735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GOLDEN EMPIRE CARDIOLOGY, A MEDICAL GROUP, INC
Practice address
3838 San Dimas St
Suite B-201
Bakersfield, CA 93301-1456
Phone
(661) 321-3161
Fax
(661) 321-3166
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tommy C Lee, MD
Title
President
Phone
(661) 321-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3838 San Dimas St
Suite B-201
Bakersfield, CA 93301-1456

Mailing address

3838 San Dimas St
Suite B-201
Bakersfield, CA 93301-1456
Phone (661) 321-3161

Other identifiers 2

IdentifierTypeStateIssuer
GR0083200MedicaidCA
ZZZ09661ZOtherCAGROUP BLUE SHIELD NO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104878735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE B-201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011456",
            "telephone_number": "661-321-3161",
            "fax_number": "661-321-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE B-201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011456",
            "telephone_number": "661-321-3161",
            "fax_number": "661-321-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EMPIRE CARDIOLOGY, A MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-321-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD NO",
            "identifier": "ZZZ09661Z",
            "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 Aug 22, 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.

Verify at the official NPI Registry.