Organization Active NPI

Bakersfield Dialysis Center Med GRP

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1467561076
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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

Updated by the provider on May 15, 2008

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CDC 02673FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.