Individual provider Active NPI

Virginia Alvidrez, MD

  • Family Medicine Physician
  • Taft, CA
National Provider Identifier
1124009923
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87759 Issued in CA
Practice address
101 Adkisson Way
Taft, CA 93268-3602
Phone
(661) 765-1935
Fax
(661) 765-1928
NPI assigned
Nov 8, 2005
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A87759 CA Primary

Addresses

Primary practice location

101 Adkisson Way
Taft, CA 93268-3602

Mailing address

3550 Q Street
Suite 101
Bakersfield, CA 93301-1645
Phone (661) 323-5918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000619 CA Practitioner - Family Practice 6507823853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87759CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon C Sorenson MD Inc. CurrentSince Jul 1, 2013 Accepting new patients
Emergency Medical Services Group Past Accepting new patients
Bakersfield Emergency Medical Corp. PastSince Jul 1, 2013 Accepting new patients

Locations

3838 San Dimas St
Ste B100
Bakersfield, CA 93301
Phone (661) 326-0088

3838 San Dimas St
Ste B121
Bakersfield, CA 93301

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1124009923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 Q STREET",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011645",
            "telephone_number": "661-323-5918",
            "fax_number": "661-323-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADKISSON WAY",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683602",
            "telephone_number": "661-765-1935",
            "fax_number": "661-765-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIDREZ",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taft, CA

Sources for this page

Verify at the official NPI Registry.