Active NPI
Kern Dermatology Medical Group Inc
- Dermatology Physician
- Bakersfield, CA
National Provider Identifier
1164549465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ZZZ84406Z
- Legal business name
- KERN DERMATOLOGY MEDICAL GROUP INC
- Practice address
- 2215 G St
Bakersfield, CA 93301-3931 - Phone
- (661) 324-1312
- Fax
- (661) 324-0901
- NPI assigned
- Mar 23, 2007
- Last updated
- May 15, 2008
- 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
- Michael A Macduff, MD
- Title
- President Physician
- Phone
- (661) 324-1312
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ZZZ84406Z | CA | Primary |
| Dermatopathology Physician | 207ND0900X | ZZZ84406Z | CA | |
| Procedural Dermatology Physician | 207NS0135X | ZZZ84406Z | CA |
Addresses
Primary practice location
2215 G St
Bakersfield, CA 93301-3931
Mailing address
2215 G Street
Bakersfield, CA 93301
Phone (661) 324-1312
National Provider Directory
National Provider DirectoryLocations
2215 G St
Bakersfield, CA 93301
Phone (661) 324-1312
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Bakersfield, CA
- NPI 1073683710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1164549465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 G STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-324-1312",
"fax_number": "661-324-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 G ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013931",
"telephone_number": "661-324-1312",
"fax_number": "661-324-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERN DERMATOLOGY MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "MACDUFF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
"authorized_official_telephone_number": "661-324-1312",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "ZZZ84406Z",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "ZZZ84406Z",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "ZZZ84406Z",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Kern County Public Health Department
- Kern County Regional Dialysis Center LLC (North Bakersfield Dialysis)
- Kern County Transit Tech LLC (kern county transit)
- Kern Critical Care Specialists, Inc
- Kern Dental Management, Inc.
- Kern Emergency Physicians
- Kern Faculty Medical Group
- Kern Faculty Psychiatry Associcates, Inc
- Kern Faculty Surgical Group
- Kern Gastroenterology Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.