G.B. Haeri M D Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A38702 Issued in CA

Legal business name

G.B. HAERI M D INC

Practice address

4545 Stockdale Hwy Ste a
Bakersfield, CA 93309-2024

Phone

(661) 834-4812

Fax

(661) 335-7766

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ghol B Haeri-Gharavi, M.D.

Title

Owner/President/Sole Proprietor

Phone

(661) 335-7755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GHOL B HAERI-GHARAVI M.D. Doing business as

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1205009461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933020022",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 STOCKDALE HWY STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092024",
            "telephone_number": "661-834-4812",
            "fax_number": "661-335-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.B. HAERI M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HAERI-GHARAVI",
        "authorized_official_first_name": "GHOL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "661-335-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447220017",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHOL B HAERI-GHARAVI M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.