Organization Active NPI

Siniva Kaneen MD a Professional Medical Corporation

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1114321056
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A82543 Issued in CA
Legal business name
SINIVA KANEEN MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
8501 Brimhall Rd
Suite 300
Bakersfield, CA 93312-2252
Phone
(661) 410-2942
Fax
(661) 410-0135
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Dr. Siniva Lynne Kaneen, MD
Title
Provider
Phone
(661) 410-2942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A82543 CA Primary

Addresses

Primary practice location

8501 Brimhall Rd
Suite 300
Bakersfield, CA 93312-2252

Mailing address

8501 Brimhall Rd
Suite 300
Bakersfield, CA 93312-2252
Phone (661) 410-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104001845 CA Part B Supplier - Clinic/Group Practice 1658630264 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

8501 Brimhall Rd
Ste C
Bakersfield, CA 93312

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": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1114321056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD",
            "address_2": "SUITE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122252",
            "telephone_number": "661-410-2942",
            "fax_number": "661-410-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD",
            "address_2": "SUITE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122252",
            "telephone_number": "661-410-2942",
            "fax_number": "661-410-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINIVA KANEEN MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "KANEEN",
        "authorized_official_first_name": "SINIVA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-410-2942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A82543",
            "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 Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.