Active NPI
Golden Empire Managed Care, a Medical Group, Inc
- Health Maintenance Organization
- Bakersfield, CA
National Provider Identifier
1275657827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- C2807675
- Legal business name
- GOLDEN EMPIRE MANAGED CARE, A MEDICAL GROUP, INC
- Practice address
- 4550 California Ave
Ste 500
Bakersfield, CA 93309-7012 - Phone
- (661) 716-7100
- Fax
- (661) 716-9211
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan L Ristenpart
- Title
- Provider Relations
- Phone
- (661) 716-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | C2807675 | CA | Primary |
Addresses
Primary practice location
4550 California Ave
Ste 500
Bakersfield, CA 93309-7012
Mailing address
4550 California Ave
Ste 500
Bakersfield, CA 93309-7012
Phone (661) 716-7100
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1275657827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 CALIFORNIA AVE",
"address_2": "STE 500",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097012",
"telephone_number": "661-716-7100",
"fax_number": "661-716-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 CALIFORNIA AVE",
"address_2": "STE 500",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097012",
"telephone_number": "661-716-7100",
"fax_number": "661-716-9211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN EMPIRE MANAGED CARE, A MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "RISTENPART",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROVIDER RELATIONS",
"authorized_official_telephone_number": "661-716-7100"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "C2807675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Madison Renee Gold, SLP
- Leonard S. Goldberg, M.D.
- Golden Coast Psychiatry and Wellness
- Golden Empire Cardiology
- Golden Empire Cardiology, a Medical Group, Inc
- Golden Empire Pathology Medical Group, Inc.
- Golden Empire Transit District
- Golden Freedom Home Health LLC
- Golden Harmony Home Health LLC
- Golden Path Medical Transport Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.