NPIMap

Organization Active NPI

KMC Pathology

  • Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1184658122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G80286 Issued in CA
Legal business name
KMC PATHOLOGY
Practice address
1830 Flower St
Room 1412
Bakersfield, CA 93305-4144
Phone
(661) 326-2000
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip Dutt, M.D.NPI 1649203167
Title
President
Phone
(661) 326-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G80286 CA Primary

Addresses

Primary practice location

1830 Flower St
Room 1412
Bakersfield, CA 93305-4144

Mailing address

4450 California Ave
Box K261
Bakersfield, CA 93309-1152
Phone (661) 326-2000

National Provider Directory

National Provider Directory

Locations

4450 California Ave
#K261
Bakersfield, CA 93309

1830 Flower St
Rm 1412
Bakersfield, CA 93305
Phone (661) 623-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184658122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIFORNIA AVE",
            "address_2": "BOX K261",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091152",
            "telephone_number": "661-326-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 FLOWER ST",
            "address_2": "ROOM 1412",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054144",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-326-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G80286",
            "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 Aug 22, 2020; 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.