Active NPI
Golden Empire Cardiology, a Medical Group, Inc
- Cardiovascular Disease Physician
- Bakersfield, CA
National Provider Identifier
1104878735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0083200 | Medicaid | CA | |
| ZZZ09661Z | Other | CA | GROUP BLUE SHIELD NO |
National Provider Directory
National Provider DirectoryNPI 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
- Gold Medal Transportation
- Madison Renee Gold, SLP
- Leonard S. Goldberg, M.D.
- Golden Coast Psychiatry and Wellness
- Golden Empire Cardiology
- Golden Empire Managed Care, a Medical Group, Inc
- Golden Empire Pathology Medical Group, Inc.
- Golden Empire Transit District
- Golden Freedom Home Health LLC
- Golden Harmony Home Health LLC
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.