Individual provider Active NPI

John-Baptist N Mugema, MD

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1467454892
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75858 Issued in CA
Practice address
4580 California Ave
Bakersfield, CA 93309-1104
Phone
(661) 327-4411
NPI assigned
Aug 15, 2005
Last updated
Jul 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75858 CA Primary

Addresses

Primary practice location

4580 California Ave
Bakersfield, CA 93309-1104

Mailing address

6515 Panama LN
# 106-107
Bakersfield, CA 93313-9726
Phone (661) 634-0955

Other identifiers 1

IdentifierTypeStateIssuer
00A758582OtherCAEMSG/SJCH MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000893 CA Practitioner - Family Practice 2365531753 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6515 Panama LN
Suite 106
Bakersfield, CA 93313-9729
Phone (661) 735-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75858CAMDPharmacist
A75858CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transamerica Medical Group Inc. CurrentSince Nov 15, 2018 Accepting new patients
Transamerica Medical Group Inc. CurrentSince Nov 15, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jun 24, 2015 Accepting new patients
San Joaquin Valley Health Group Inc CurrentSince Oct 30, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jun 24, 2015 Accepting new patients
San Joaquin Valley Health Group Inc CurrentSince Jul 2, 2015 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Emergency Medical Services Group Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4420 Coffee Rd
Ste A
Bakersfield, CA 93308
Phone (661) 345-9964

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

6515 Panama Ln
#106107
Bakersfield, CA 93313
Phone (661) 634-0955

6515 Panama Ln
Ste 106
Bakersfield, CA 93313
Phone (661) 735-3041

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

810 N Cherry St
Tulare, CA 93274
Phone (559) 685-0407

Interoperability endpoints

  • Direct secure messaging: john.mugema.p1@direct.bfmc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1467454892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 PANAMA LN",
            "address_2": "# 106-107",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933139726",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-327-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGEMA",
        "first_name": "JOHN-BAPTIST",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMSG/SJCH MEDICARE PIN",
            "identifier": "00A758582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.