Pinnacle Emergency Physicians of Bakersfield, a Professional Corp
Organization Active NPI Emergency Medicine Physician · Bakersfield, CA
NPI 1386980415 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1386980415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- PINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD, A PROFESSIONAL CORP
- Practice address
- 2215 Truxtun Ave
Bakersfield, CA 93301-3602 - Phone
- (661) 632-5000
- NPI assigned
- Dec 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Leslie R. Burson, D.O.
- Title
- Owner
- Phone
- (626) 447-0296
Other NPIs on the same Medicare enrollment 2
Practitioners 38
-
Ellen B Crowe, MD
-
Kristy Doty, NP-C
-
Cristina Supen Dulcich, NURSE PRACTITIONER
-
Shubhangi Gaikwad, M.D.
-
Joseph A Hardwick, M.D.
-
Vu Quang Huynh, M.D.
-
Adam Johnson, M.D.
-
Timothy Lee, M.D.
-
Elizabeth O. Marquart, M.D.
-
Courtney Moreno, FNP
-
Edward L Nichols, M.D.
-
Naveen Reddy, M.D.
-
David Lee Riggs Jr., M.D.
-
Rebecca Samet, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090520000375 | CA | Part B Supplier - Clinic/Group Practice | 7214086321 |
Receives reassigned benefits from 241 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bakersfield, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2215 Truxtun Ave
Bakersfield, CA 93301-3602
Mailing address
PO Box 661972
Arcadia, CA 91066-1972
Phone (626) 447-0296
Other providers in Bakersfield, CA
- Gavyn Pine
- Artemio Pineda
- Cecilia Pineda
- Maria G Pineda
- Josie Pinedo
- Pinnacle Emergency Physicians of Bakersfield, a Professional Corp
- Pinnacle Emergency Physicians of Bakersfield, a Professional Corp
- Pinnacle Optometric Eye Care
- Pinnacle Primary Care Inc
- Pinnacle Primary Care Inc
All providers in Bakersfield, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.