Truxtun Psychiatric Medical Group

Primary specialty

PsychologistTaxonomy code 103T00000X

License

A34791 Issued in CA

Legal business name

TRUXTUN PSYCHIATRIC MEDICAL GROUP

Practice address

6001 Truxtun Ave
Suite 160
Bakersfield, CA 93309-0679

Phone

(661) 323-6410

Fax

(661) 323-7631

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. S A Manohara, M.D.

Title

Owner

Phone

(661) 323-6410

Specialties & licenses 7

Addresses

Tax ID family

St Therese Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Therese Medical Group

  • Specialist
  • Bakersfield, CA
  • NPI 1962653097
  NPD tax ID

Locations

Practitioners 2

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

• Marialice Faubel, PH.D.

  • Psychologist
  • Fountain Valley, CA
  • NPI 1336160365
  NPD (past)
• Jaswant Khokhar, MD

  • Psychiatry Physician
  • Bakersfield, CA
  • NPI 1780751735
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194848978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-323-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-323-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUXTUN PSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANOHARA",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-323-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "A34791",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "C43345",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "A50719",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "C30492",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "A41677",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "A44584",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vu Truong, OD
• Trusting Comfort Care, LLC
• Trustwell Home Health LLC
• Truxtun Healthcare Inc
• Truxtun Psychiatric Medical Group
• Truxtun Psychiatric Medical Group Inc
• Truxtun Radiology Medical Group, L.P.
• Truxtun Surgery Center Inc
• TS Telepsychiatry of California PC
• Allen Tsai, D.D.S.

• Psychologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychologist in California

• 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.