NPIMap

Organization Active NPI

Pacific Medical Group

  • General Practice Physician
  • Bakersfield, CA
National Provider Identifier
1417165606
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00G436350 Issued in CA
Legal business name
PACIFIC MEDICAL GROUP
Practice address
3201 F St Ste 250
Bakersfield, CA 93301-1846
Phone
(661) 322-7500
Fax
(661) 322-7510
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Jeffrey Edwards, M.D.NPI 1710921119
Title
President
Phone
(661) 322-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 00G436350 CA Primary

Addresses

Primary practice location

3201 F St Ste 250
Bakersfield, CA 93301-1846

Mailing address

3201 F St Ste 250
Bakersfield, CA 93301-1846
Phone (661) 322-7500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1417165606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 F ST STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011846",
            "telephone_number": "661-322-7500",
            "fax_number": "661-322-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 F ST STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011846",
            "telephone_number": "661-322-7500",
            "fax_number": "661-322-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-322-7500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "00G436350",
            "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 Apr 22, 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.

Verify at the official NPI Registry.