Organization Active NPI

Valley Children'S Primary Care Group, Inc.

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1477920197
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VALLEY CHILDREN'S PRIMARY CARE GROUP, INC.
Practice address
300 Old River Rd
Suite 125
Bakersfield, CA 93311-9503
Phone
(661) 663-3122
Fax
(661) 663-3133
NPI assigned
Aug 28, 2015
Organization subpart
Yes
Parent organization
VALLEY CHILDREN'S PRIMARY CARE GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
David Christensen, M.D.
Title
President
Phone
(559) 353-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

300 Old River Rd
Suite 125
Bakersfield, CA 93311-9503

Mailing address

9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-3000

Other names 1

  • VALLEY CHILDREN'S PRIMARY CARE GROUP - STOCKDALE Other name

National Provider Directory

National Provider Directory
Tax ID family
Valley Childrens Primary Care Group Inc2 organizations share this tax ID, including this one
Part of
Valley Childrens Primary Care Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Old River Rd
Ste 125
Bakersfield, CA 93311
Phone (661) 322-2700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1477920197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD",
            "address_2": "SUITE 125",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "661-663-3122",
            "fax_number": "661-663-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHILDREN'S PRIMARY CARE GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY CHILDREN'S PRIMARY CARE GROUP, INC.",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-353-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY CHILDREN'S PRIMARY CARE GROUP - STOCKDALE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 30, 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.