Active NPI
Carl Mitchell, MD
- Emergency Medicine Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 47538
- Practice address
- 1100 Mondavi Way Apt H7
Bakersfield, CA 93312-4351 - Phone
- (501) 554-9615
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 47538 | AZ | Primary |
Addresses
Primary practice location
1100 Mondavi Way Apt H7
Bakersfield, CA 93312-4351
Mailing address
1100 Mondavi Way Apt H7
Bakersfield, CA 93312-4351
Phone (501) 554-9615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47538 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
Interoperability endpoints
- cmitchell68889@direct.valleywisehealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Surgery Physician
- Phoenix, AZ
- NPI 1619200722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1295979748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MONDAVI WAY APT H7",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933124351",
"telephone_number": "501-554-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MONDAVI WAY APT H7",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933124351",
"telephone_number": "501-554-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "47538",
"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 Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.