NPIMap

Organization Active NPI

Universal Healthcare Services, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1265068092
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSAL HEALTHCARE SERVICES, INC.
Practice address
2121 Niles St Ste 200
Bakersfield, CA 93305-5007
Phone
(661) 546-9046
Fax
(661) 546-9047
NPI assigned
Mar 12, 2020
Organization subpart
Yes
Parent organization
UNIVERSAL HEALTHCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Martha Isabel Garcia
Title
Administrator
Phone
(661) 587-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2121 Niles St Ste 200
Bakersfield, CA 93305-5007

Mailing address

8303 Brimhall Rd BLDG 1500
Bakersfield, CA 93312-2243
Phone (661) 587-2468

Other names 1

  • Niles Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Universal Healthcare SVCS11 organizations share this tax ID, including this one
Part of
Universal Healthcare SVCS

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2123 Niles St
Bakersfield, CA 93305
Phone (661) 546-9046

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.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2182143Niles Primary Care Clinic2121 Niles St, Ste 200, Bakersfield, CA 93305Certificate of waiverApr 15, 2028

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1265068092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 BRIMHALL RD BLDG 1500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122243",
            "telephone_number": "661-587-2468",
            "fax_number": "661-587-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NILES ST STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055007",
            "telephone_number": "661-546-9046",
            "fax_number": "661-546-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-587-2468"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niles Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niles Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.