Organization Active NPI

Truxtun Psychiatric Medical Group

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1114094141
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34791 Issued in CA
Legal business name
TRUXTUN PSYCHIATRIC MEDICAL GROUP
Practice address
6001 Truxtun Ave
Suite #160
Bakersfield, CA 93309-0679
Phone
(661) 323-6410
Fax
(661) 323-7631
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mr. Sakrepatna A Manohara, MD
Title
Owner
Phone
(661) 323-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A34791 CA Primary

Addresses

Primary practice location

6001 Truxtun Ave
Suite #160
Bakersfield, CA 93309-0679

Mailing address

6001 Truxtun Ave
Suite #160
Bakersfield, CA 93309-0679
Phone (661) 323-6410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1114094141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE #160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE #160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-323-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUXTUN PSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "MANOHARA",
        "authorized_official_first_name": "SAKREPATNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-323-6410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34791",
            "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 Jan 26, 2012; 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.