Active NPI
Vipmd
- Interventional Cardiology Physician
- Bakersfield, CA
National Provider Identifier
1124521018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- VIPMD
- Practice address
- 2901 Sillect Ave Ste 201
Bakersfield, CA 93308-6373 - Phone
- (661) 327-2101
- Fax
- (661) 327-2554
- NPI assigned
- Mar 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ty Heckman
- Title
- Manager
- Phone
- (661) 327-2101
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | A63639 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
2901 Sillect Ave Ste 201
Bakersfield, CA 93308-6373
Mailing address
2901 Sillect Ave Ste 201
Bakersfield, CA 93308-6373
Phone (661) 327-2101
Other practice location 1
1701 26th St
Bakersfield, CA 93301-2803
Phone (661) 327-2208
Other practice location 2
4000 Physicians Blvd Ste 101
Bakersfield, CA 93301-1284
Phone (661) 327-0807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Vipmd
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1356284434
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
4000 Physicians Blvd
Ste 101
Bakersfield, CA 93301
Phone (661) 327-0807
2323 16th St
Ste 201
Bakersfield, CA 93301
Phone (661) 310-2732
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Bakersfield, CA
- NPI 1295919371
-
- Cardiovascular Disease Physician
- North Hollywood, CA
- NPI 1619997467
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1083924583
-
- Plastic Surgery Physician
- Bakersfield, CA
- NPI 1891702122
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1639587579
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1407086390
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1407332919
-
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
- NPI 1114234440
CA
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1265813315
-
- Cardiovascular Disease Physician
- Bakersfield, CA
- NPI 1134195647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1124521018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 SILLECT AVE STE 201",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933086373",
"telephone_number": "661-327-2101",
"fax_number": "661-327-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SILLECT AVE STE 201",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933086373",
"telephone_number": "661-327-2101",
"fax_number": "661-327-2554"
}
],
"practiceLocations": [
{
"address_1": "1701 26th St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933012803",
"country_code": "US",
"telephone_number": "661-327-2208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Physicians Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933011284",
"country_code": "US",
"telephone_number": "661-327-0807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VIPMD",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-16",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "HECKMAN",
"authorized_official_first_name": "TY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "661-327-2101"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A63639",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"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 Jan 17, 2025; 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.