Organization Active NPI

Bakersfield Pathology Medical Group

  • Clinical Medical Laboratory
  • Bakersfield, CA
National Provider Identifier
1235198474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BAKERSFIELD PATHOLOGY MEDICAL GROUP
Practice address
2828 H St
Suite D
Bakersfield, CA 93301-1900
Phone
(661) 336-0622
NPI assigned
Mar 17, 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
Lilibeth Guinto-Miranda, MD
Title
President
Phone
(661) 336-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

2828 H St
Suite D
Bakersfield, CA 93301-1900

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

Other identifiers 2

IdentifierTypeStateIssuer
LAB98287FOtherCAGROUP ID
ZZZ16224ZOtherCABLUE SHIELD GROUP ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235198474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 H ST",
            "address_2": "SUITE D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011900",
            "telephone_number": "661-336-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD PATHOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUINTO-MIRANDA",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-336-0622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "LAB98287F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "ZZZ16224Z",
            "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 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.