Aileen R Matuk M.D., Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A24584 Issued in CA

Legal business name

AILEEN R MATUK M.D., INC

Practice address

2323 16TH St
Suite 500
Bakersfield, CA 93301-3420

Phone

(661) 327-8651

NPI assigned

Apr 12, 2007

Last updated

Nov 6, 2017By 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

Aileen Matuk, M.D.

Title

Owner

Phone

(661) 327-8651

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1336363316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-327-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-327-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILEEN R MATUK M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "MATUK",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-327-8651",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A24584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "757111685",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A245840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.