Active NPI
Riverwalk Pediatric Clinic Inc
- Pediatrics Physician
- Bakersfield, CA
National Provider Identifier
1417910886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101310 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.