Bacon & Peterson Anesthesia Medical Group Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

C31585 Issued in CA

Legal business name

BACON & PETERSON ANESTHESIA MEDICAL GROUP INC

Practice address

3400 Loma Vista Rd
Ste. 9
Ventura, CA 93003-3033

Phone

(805) 644-4477

Fax

(805) 644-0347

NPI assigned

Jul 13, 2006

Last updated

Jan 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Merrill Philip Bacon, M.D.

Title

Partner

Phone

(805) 644-4477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1285659961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD",
            "address_2": "STE. 9",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033033",
            "telephone_number": "805-644-4477",
            "fax_number": "805-644-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD",
            "address_2": "STE. 9",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033033",
            "telephone_number": "805-644-4477",
            "fax_number": "805-644-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACON & PETERSON ANESTHESIA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-644-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C31585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Babbitt, DDS
• Kathleen Marie Babcock, OTR/L CHT
• Yvonne Baca
• Tamara L Bacak
• Elizabeth Ann Bachman, LCSW/MSW
• William W Baczek, DDS
• Gina Bae, DO
• Maryann Baer Forman, SLP
• Lisa Danielle Bagby
• Hope Baguinon

• Pain Medicine (Anesthesiology) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.