NPIMap

Organization Active NPI

SJV Medical Group

  • Pulmonary Disease Physician
  • Bakersfield, CA
National Provider Identifier
1437752656
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SJV MEDICAL GROUP
Practice address
5801 Truxtun Ave
Bakersfield, CA 93309-0609
Phone
(661) 327-3747
Fax
(661) 616-3237
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Ned Devasia, MDNPI 1255435376
Title
Owner
Phone
(661) 327-3747

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
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

5801 Truxtun Ave
Bakersfield, CA 93309-0609

Mailing address

P.O. Box 2426
Bakersfield, CA 93303-2426
Phone (661) 327-3747

Other identifiers 1

IdentifierTypeStateIssuer
CA134956OtherCAPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sjvmedicalgroup@gmail.com

National Provider Directory

National Provider Directory

Locations

5801 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 327-3747

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1437752656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2426",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032426",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090609",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "DEVASIA",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-327-3747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA134956",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sjvmedicalgroup@gmail.com",
            "affiliation": "N",
            "address_1": "5801 Truxtun Ave",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933090609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 19, 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.