Individual provider Active NPI

Keith L Seidenstricker, M.D.

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1124183546
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G247060 Issued in CA
Practice address
2701 Chester Ave Ste 101
Bakersfield, CA 93301-2016
Phone
(661) 716-9400
Fax
(661) 323-0889
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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 G247060 CA Primary

Addresses

Primary practice location

2701 Chester Ave Ste 101
Bakersfield, CA 93301-2016

Mailing address

2701 Chester Ave Ste 101
Bakersfield, CA 93301-2016
Phone (661) 716-9400

Other identifiers 4

IdentifierTypeStateIssuer
G247060OtherCASTATE LICENSE #
ZZZ01707ZOtherCAMEDICARE GROUP #
ZZZ01800ZOtherCABLUE SHIELD GROUP PROV#
GR0092950OtherCAMEDI-CAL GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G247060CAMDFamily Medicine Physician
24706CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highgrove Medical Clinic,Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1124183546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016",
            "telephone_number": "661-716-9400",
            "fax_number": "661-323-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016",
            "telephone_number": "661-716-9400",
            "fax_number": "661-323-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDENSTRICKER",
        "first_name": "KEITH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G247060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "G247060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ01707Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP PROV#",
            "identifier": "ZZZ01800Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "GR0092950",
            "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 Feb 22, 2013; 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.