East Hills Medical Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EAST HILLS MEDICAL GROUP INC

Practice address

2010 17TH Street
Bakersfield, CA 93301

Phone

(661) 871-3514

Fax

(661) 325-7199

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Alvin Dodenhoff, DC

Title

Chief Banking Officer Office MGR

Phone

(661) 871-3514

Specialties & licenses 1

Addresses

Other names 1

• East Hills Plaza Medical Associates Inc Doing business as

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235215906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6399",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93386",
            "telephone_number": "661-871-3514",
            "fax_number": "661-325-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 17TH STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-871-3514",
            "fax_number": "661-325-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HILLS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DODENHOFF",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF BANKING OFFICER OFFICE MGR",
        "authorized_official_telephone_number": "661-871-3514",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hills Plaza Medical Associates Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinic/Center 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.