Organization Active NPI

Michael G Oefelein, M.D., Inc.

  • Urology Physician
  • Bakersfield, CA
National Provider Identifier
1417414004
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MICHAEL G OEFELEIN, M.D., INC.
Practice address
3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Phone
(661) 665-0505
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mary Powell
Title
Practice Coordinator
Phone
(661) 665-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494

Mailing address

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Phone (661) 665-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812002838 CA Part B Supplier - Clinic/Group Practice 7719214865 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3850 San Dimas St
Bakersfield, CA 93301
Phone (661) 663-3700

3838 San Dimas St
Ste B23
Bakersfield, CA 93301

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": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1417414004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G OEFELEIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "661-665-0505"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "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 Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.