Organization Active NPI

Golden Empire Managed Care, a Medical Group, Inc

  • Health Maintenance Organization
  • Bakersfield, CA
National Provider Identifier
1275657827
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
C2807675 Issued in CA
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

Updated by the provider on Jun 13, 2008

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)CodeLicenseStatePrimary
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 Directory

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)…

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

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.

Verify at the official NPI Registry.