Organization Active NPI

Bakersfield Sports Injury & Wellness Inc.

  • Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1184894636
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAKERSFIELD SPORTS INJURY & WELLNESS INC.
Doing business as
Bakersfield Sports Injury & Wellness Inc.
Practice address
2001 19TH St
Bakersfield, CA 93301-4211
Phone
(661) 633-2386
Fax
(661) 633-2846
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Surinder K. Sidhu, MD
Title
Chief of Medical Staff
Phone
(661) 633-2386

Specialties & licenses 1

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

Addresses

Primary practice location

2001 19TH St
Bakersfield, CA 93301-4211

Mailing address

2001 19TH St
Bakersfield, CA 93301-4211
Phone (661) 633-2386

Other names 1

  • Bakersfield Sports Injury & Wellness Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2001 19th St
Bakersfield, CA 93301
Phone (661) 327-3405

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1184894636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014211",
            "telephone_number": "661-633-2386",
            "fax_number": "661-633-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014211",
            "telephone_number": "661-633-2386",
            "fax_number": "661-633-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD SPORTS INJURY & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF OF MEDICAL STAFF",
        "authorized_official_telephone_number": "661-633-2386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakersfield Sports Injury & Wellness Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 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.