Active NPI
Bakersfield Dialysis Center Med GRP
- Nephrology Physician
- Bakersfield, CA
National Provider Identifier
1467561076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- BAKERSFIELD DIALYSIS CENTER MED GRP
- Practice address
- 5143 Office Park Drive
Bakersfield, CA 93309-0660 - Phone
- (661) 325-4741
- Fax
- (661) 323-0566
- NPI assigned
- Aug 29, 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
- Mary Ann Bisogno
- Title
- Business Manager
- Phone
- (661) 325-4741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
5143 Office Park Drive
Bakersfield, CA 93309-0660
Mailing address
5143 Office Park Drive
Bakersfield, CA 93309-0660
Phone (661) 325-4741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC 02673F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5143 Office Park Dr
Bakersfield, CA 93309
Phone (661) 322-4911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1467561076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5143 OFFICE PARK DRIVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090660",
"telephone_number": "661-325-4741",
"fax_number": "661-323-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5143 OFFICE PARK DRIVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090660",
"telephone_number": "661-325-4741",
"fax_number": "661-323-0566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKERSFIELD DIALYSIS CENTER MED GRP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "BISOGNO",
"authorized_official_first_name": "MARY ANN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "661-325-4741"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CDC 02673F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Bakersfield Commons Surgical Center, LLC
- Bakersfield Community Health Center, Inc.
- Bakersfield Community Hospice, Inc.
- Bakersfield Community Physical Therapy
- Bakersfield Dermatology and Skin Cancer PC
- Bakersfield Digital Dental Corporation
- Bakersfield Drug Company Inc. (Rufener's Alta Vista Drug)
- Bakersfield Emergency Medical Corp.
- Bakersfield Eye Institute Inc
- Bakersfield Family Chiropractic, Perry Chiropractic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.