Organization Active NPI

Riverwalk Pediatric Clinic Inc

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1417910886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RIVERWALK PEDIATRIC CLINIC INC
Practice address
9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311
Phone
(661) 663-7500
Fax
(661) 663-3063
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hasmukh C Amin, MD
Title
President
Phone
(661) 663-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311

Mailing address

9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311
Phone (661) 663-7500

Other identifiers 1

IdentifierTypeStateIssuer
GR0101310MedicaidCA

National Provider Directory

National Provider Directory

Locations

9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311
Phone (661) 663-7500

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417910886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-7500",
            "fax_number": "661-663-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-7500",
            "fax_number": "661-663-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PEDIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "HASMUKH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-663-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101310",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.