Kern Dermatology Medical Group Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ZZZ84406Z Issued in CA

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

Organization subpart

No

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

Specialties & licenses 3

Addresses

Locations

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": []
}

• Kern County Public Health Department
• Kern County Regional Dialysis Center LLC
• Kern County Transit Tech LLC
• 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

• Dermatology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dermatology Physician in California

• 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.

Verify at the official NPI Registry.