Organization Active NPI

Century Medical Group Inc

  • Public Health & General Preventive Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1336357540
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CENTURY MEDICAL GROUP INC
Practice address
3201 F St Ste 250
Bakersfield, CA 93301-1846
Phone
(661) 322-7500
Fax
(661) 322-7510
NPI assigned
May 19, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Charles R Phillips, M.D.
Title
President
Phone
(661) 322-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X NU Primary
Public Health & General Preventive Medicine Physician 2083P0901X C41767 CA

Addresses

Primary practice location

3201 F St Ste 250
Bakersfield, CA 93301-1846

Mailing address

3201 F St Ste 250
Bakersfield, CA 93301-1846
Phone (661) 322-7500

Other identifiers 1

IdentifierTypeStateIssuer
C41767OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

3201 F St
Ste 250
Bakersfield, CA 93301
Phone (661) 322-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1336357540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 F ST STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011846",
            "telephone_number": "661-322-7500",
            "fax_number": "661-322-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 F ST STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011846",
            "telephone_number": "661-322-7500",
            "fax_number": "661-322-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-322-7500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "C41767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "C41767",
            "state": "CA"
        }
    ],
    "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 14, 2010; 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.