Individual provider Active NPI

Mary Milkie-Andrews, MD

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1336271832
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71348 Issued in CA
Practice address
9500 Stockdale Hwy
Ste 201
Bakersfield, CA 93311-3620
Phone
(661) 327-1431
Fax
(661) 321-3286
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71348 CA Primary

Addresses

Primary practice location

9500 Stockdale Hwy
Ste 201
Bakersfield, CA 93311-3620

Mailing address

PO Box 21206
Quality Management
Bakersfield, CA 93390-1206
Phone (661) 735-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000300 CA Practitioner - Family Practice 3375729908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71348CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Medical, Inc Family Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

5300 Lennox Ave
Ste 105
Bakersfield, CA 93309
Phone (661) 735-1710

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1336271832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21206",
            "address_2": "QUALITY MANAGEMENT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901206",
            "telephone_number": "661-735-1710",
            "fax_number": "661-888-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STOCKDALE HWY",
            "address_2": "STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113620",
            "telephone_number": "661-327-1431",
            "fax_number": "661-321-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILKIE-ANDREWS",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.