Personalized Family Medicine, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A5828 Issued in CA

Legal business name

PERSONALIZED FAMILY MEDICINE, INC.

Practice address

2308 Haggin Oaks Blvd
Bakersfield, CA 93311-1563

Phone

(661) 201-5409

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Charlotte Ann Rose

Title

Practice Manager

Phone

(661) 201-5409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• John T Heidrick, D.O

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1447252754
  Medicare reassignment NPD

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1265853295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HAGGIN OAKS BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111563",
            "telephone_number": "661-201-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HAGGIN OAKS BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111563",
            "telephone_number": "661-201-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "661-201-5409",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A5828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Persel
• James P Person, R.PH.
• Nanouli G Person, FNP
• Thomas Person, PHARM D.
• Personal Care Services, Inc.
• Personrx Incorporated
• Personrx, Incorporated
• Hannah Margarita Pesina
• Peter K. Cho DDS Dental Corporation
• Peter M Kim DMD, Inc.

• Primary Care Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.