Organization Active NPI

Bakersfield Pathology Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Bakersfield, CA
National Provider Identifier
1114996345
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
BAKERSFIELD PATHOLOGY MEDICAL GROUP
Practice address
2615 Eye St
Bakersfield, CA 93301-2006
Phone
(661) 336-0622
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Lilibeth Guinto-Miranda, M.D.
Title
President
Phone
(661) 336-0622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2615 Eye St
Bakersfield, CA 93301-2006

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

Other identifiers 2

IdentifierTypeStateIssuer
GR0092490OtherCADHS GROUP ID
ZZZ16224ZOtherCABLUE SHIELD GROUP ID

National Provider Directory

National Provider Directory

Locations

2828 H St
Fl 1
Bakersfield, CA 93301
Phone (661) 336-0622

1524 27th St
Ste Gl
Bakersfield, CA 93301
Phone (661) 637-8180

1661 29th St
Bakersfield, CA 93301
Phone (661) 328-8100

3000 Sillect Ave
Bakersfield, CA 93308
Phone (661) 336-0622

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1114996345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 EYE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012006",
            "telephone_number": "661-336-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD PATHOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "GUINTO-MIRANDA",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-336-0622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS GROUP ID",
            "identifier": "GR0092490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "ZZZ16224Z",
            "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 Nov 20, 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.