Active NPI
Kenneth H Quigley, RDO
- Optician
- Bakersfield, CA
National Provider Identifier
1225105117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 2794
- Practice address
- 2022 N Chester Ave
Bakersfield, CA 93308-2653 - Phone
- (661) 393-2554
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 2794 | CA | Primary |
Addresses
Primary practice location
2022 N Chester Ave
Bakersfield, CA 93308-2653
Mailing address
2022 N Chester Ave
Bakersfield, CA 93308-2653
Phone (661) 393-2554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX002794F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225105117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 N CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933082653",
"telephone_number": "661-393-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 N CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933082653",
"telephone_number": "661-393-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "KENNETH",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "RDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "2794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX002794F",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.