Individual provider Active NPI

Gordon Murray Mitts, M.D.

  • Plastic Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1407937675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G357290 Issued in CA
Practice address
2525 H St
Bakersfield, CA 93301-2817
Phone
(661) 324-7208
Fax
(661) 324-3403
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

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
Plastic Surgery Physician 208200000X G357290 CA Primary

Addresses

Primary practice location

2525 H St
Bakersfield, CA 93301-2817

Mailing address

2300 Pine St
Bakersfield, CA 93301-3431
Phone (661) 631-2790

Other identifiers 1

IdentifierTypeStateIssuer
G357290OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000066 CA Practitioner - Plastic and Reconstructive Surgery 1951455492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Loma Linda University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 H St
Bakersfield, CA 93301-2817
Phone (661) 324-7208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G357290CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G. M. Mitts, M. D. Inc Plastic Surgery CurrentSince Mar 25, 2009 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

2525 H St
Bakersfield, CA 93301
Phone (661) 324-7208

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407937675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PINE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013431",
            "telephone_number": "661-631-2790",
            "fax_number": "661-631-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012817",
            "telephone_number": "661-324-7208",
            "fax_number": "661-324-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTS",
        "first_name": "GORDON",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G357290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G357290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.