The Industrial Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

16328 Issued in CA

Legal business name

THE INDUSTRIAL MEDICAL GROUP

Practice address

2501 G St
Bakersfield, CA 93301-2811

Phone

(661) 327-2225

NPI assigned

Jan 26, 2008

Last updated

Jan 29, 2008By 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

Mr. Larry Cho, M.D.NPI 1487838090

Title

Medical Director

Phone

(661) 327-2225

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Larry M Cho, M.D.

  • Occupational Medicine Physician
  • Bakersfield, CA
  • NPI 1487838090
  NPD (past) Authorized official
• Cecilie R Deza, M.D.

  • Occupational Medicine Physician
  • Bakersfield, CA
  • NPI 1538343041
  NPD (past)
• Lorie Fleming, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1417372079
  NPD (past)
• Melchor Jacob, NP/PA

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1194962605
  NPD (past)
• Danielle Wiseley, PA-C

  • Physician Assistant
  • Columbus, GA
  • NPI 1912379421
  NPD (past)

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1346427929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012811",
            "telephone_number": "661-327-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDUSTRIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-327-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "16328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.