Virginia Alvidrez, MD
Individual provider Active NPI Family Medicine Physician · Taft, CA
NPI 1124009923 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1124009923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A87759 (CA)
- Practice address
- 101 Adkisson Way
Taft, CA 93268-3602 - Phone
- (661) 765-1935
- Fax
- (661) 765-1928
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041217000619 | CA | Practitioner - Family Practice | 6507823853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87759 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon C Sorenson MD Inc. | Current |
Accepting new patients | |
| Emergency Medical Services Group | Past | Accepting new patients | |
| Bakersfield Emergency Medical Corp. | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A87759 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00228421 | Other | CA | RAILROAD MEDICARE |
| 00A877590 | Medicaid | CA |
Other providers in Taft, CA
- Sean Duquay Abair Sr.
- Khaled Abdelkarim
- Al Akad Dental Corporation
- David Amaya
- Osagie Festus Amayo
- Anthony Joseph Thomas MD Inc
- Claire Arellano
- Mike Armendariz I
All providers in Taft, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.