Individual provider Active NPI

Tony M Deeths, MD

  • Diagnostic Radiology Physician
  • Bakersfield, CA
National Provider Identifier
1386799377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G20695 Issued in CA
Practice address
1817 Truxton Ave
Truxton Radiology Medical Group LP
Bakersfield, CA 93301
Phone
(661) 325-6800
Fax
(661) 325-4734
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G20695 CA Primary

Addresses

Primary practice location

1817 Truxton Ave
Truxton Radiology Medical Group LP
Bakersfield, CA 93301

Mailing address

1817 Truxton Ave
Truxton Radiology Medical Group LP
Bakersfield, CA 93301
Phone (661) 325-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G20695CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truxtun Radiology Medical Group, L.P. PastSince Jun 1, 2010 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386799377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 TRUXTON AVE",
            "address_2": "TRUXTON RADIOLOGY MEDICAL GROUP LP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 TRUXTON AVE",
            "address_2": "TRUXTON RADIOLOGY MEDICAL GROUP LP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETHS",
        "first_name": "TONY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G20695",
            "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 Jul 8, 2007; 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.