Advanced Health Care of Bakersfield Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED HEALTH CARE OF BAKERSFIELD INC

Practice address

4040 San Dimas St
Suite a
Bakersfield, CA 93301-1298

Phone

(661) 363-6800

Fax

(661) 363-6888

NPI assigned

Dec 29, 2010

Last updated

Jun 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yakdan T Al Qaisi, M.D.NPI 1811068869

Title

M.D./Owner

Phone

(661) 363-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Yakdan Taha Al Qaisi, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1811068869
  Authorized official Same address or phone

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1457655771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 SAN DIMAS ST",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011298",
            "telephone_number": "661-363-6800",
            "fax_number": "661-363-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SAN DIMAS ST",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011298",
            "telephone_number": "661-363-6800",
            "fax_number": "661-363-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE OF BAKERSFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "AL QAISI",
        "authorized_official_first_name": "YAKDAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "661-363-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6684900001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Anesthesia Specialists a Medical Corporation
• Advanced Cardiology Medical Associates, Inc
• Advanced Care for Women
• Advanced Center for Eye Care
• Advanced Central Valley Vascular Institute, Inc
• Advanced Health Group, Inc.
• Advanced Healthcare Services Inc
• Advanced Heart Institute
• Advanced Kidney Medical Group
• Advanced Laser and Cosmetic Surgery Center LLC

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.