Active NPI
Mirna R Chambi MD Inc
- Family Medicine Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53149
- Legal business name
- MIRNA R CHAMBI MD INC
- Practice address
- 1420 Crestmont Dr
Bakersfield, CA 93306-4201 - Phone
- (661) 873-7515
- Fax
- (661) 873-7505
- NPI assigned
- Jan 26, 2015
- Organization subpart
- Yes
- Parent organization
- MIRNA R CHAMBI MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mirna R Chambi, MD
- Title
- MD
- Phone
- (714) 470-7250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53149 | CA | Primary |
Addresses
Primary practice location
1420 Crestmont Dr
Bakersfield, CA 93306-4201
Mailing address
1420 Crestmont Dr
Bakersfield, CA 93306-4201
Phone (661) 873-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2076629 | Mirna R Chambi MD Inc | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Mirna R Chambi MD Inc
- Part of
- Mirna R Chambi MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Buena Park, CA
- NPI 1265585038
Locations
1420 Crestmont Dr
Bakersfield, CA 93306
Phone (661) 873-7515
7151 Lincoln Ave
Ste Ab
Buena Park, CA 90620
Phone (714) 821-6506
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Buena Park, CA
- NPI 1265585038
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Buena Park, CA
- NPI 1104853514
-
- Nurse Practitioner
- Anaheim Hills, CA
- NPI 1346559317
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1649665480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1235529504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CRESTMONT DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064201",
"telephone_number": "661-873-7515",
"fax_number": "661-873-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 CRESTMONT DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064201",
"telephone_number": "661-873-7515",
"fax_number": "661-873-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRNA R CHAMBI MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIRNA R CHAMBI MD INC",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "CHAMBI",
"authorized_official_first_name": "MIRNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "714-470-7250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A53149",
"primary": true
}
],
"identifiers": [],
"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 Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.