Active NPI
Clinicians Medical Group, Inc
- Endocrinology, Diabetes & Metabolism Physician
- Bakersfield, CA
National Provider Identifier
1407080468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A47812
- Legal business name
- CLINICIANS MEDICAL GROUP, INC
- Practice address
- 1801 16TH St Ste B
Bakersfield, CA 93301-5002 - Phone
- (661) 326-8060
- Fax
- (661) 326-1349
- NPI assigned
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnson Jung, M.D.
- Title
- President
- Phone
- (661) 326-8060
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Specialist | 174400000X | A41492 | CA | |
| Dermatology Physician | 207N00000X | A40540 | CA | |
| Emergency Medicine Physician | 207P00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A47812 | CA | Primary |
| Infectious Disease Physician | 207RI0200X | A24185 | CA | |
| Infectious Disease Physician | 207RI0200X | G58099 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A72152 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G28242 | CA | |
| Neurology Physician | 2084N0400X | A25213 | CA | |
| Pain Medicine Physician | 208VP0000X | A89459 | CA |
Addresses
Primary practice location
1801 16TH St Ste B
Bakersfield, CA 93301-5002
Mailing address
1801 16TH St Ste B
Bakersfield, CA 93301-5002
Phone (661) 326-8060
National Provider Directory
National Provider Directory- Tax ID family
- Clinicians Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1932573524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1407080468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 16TH ST STE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933015002",
"telephone_number": "661-326-8060",
"fax_number": "661-326-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 16TH ST STE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933015002",
"telephone_number": "661-326-8060",
"fax_number": "661-326-1349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICIANS MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "JOHNSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-326-8060",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A41492",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A40540",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A47812",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A24185",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G58099",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A72152",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G28242",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A25213",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A89459",
"primary": false
}
],
"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 May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.