Active NPI
Tehachapi Medical Clinic
- Family Medicine Physician
- Tehachapi, CA
National Provider Identifier
1538285697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5732
- Legal business name
- TEHACHAPI MEDICAL CLINIC
- Practice address
- 1001 W Tehachapi Blvd
Suite a-100
Tehachapi, CA 93561-2532 - Phone
- (661) 822-2530
- Fax
- (661) 822-2536
- NPI assigned
- Mar 21, 2007
- 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
- Dr. Mark Alan Pesche, D.O,
- Title
- President
- Phone
- (661) 822-2530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A5732 | CA | Primary |
Addresses
Primary practice location
1001 W Tehachapi Blvd
Suite a-100
Tehachapi, CA 93561-2532
Mailing address
PO Box 2525
Tehachapi, CA 93581-2525
Phone (661) 822-2530
National Provider Directory
National Provider DirectoryLocations
1001 W Tehachapi Blvd
Ste A100
Tehachapi, CA 93561
Phone (661) 822-2530
20960 Sage Ln
Ste B
Tehachapi, CA 93561
Phone (661) 771-6525
123 S Green St
Tehachapi, CA 93561
Phone (661) 822-2530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195862400000",
"number": "1538285697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2525",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935812525",
"telephone_number": "661-822-2530",
"fax_number": "661-822-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W TEHACHAPI BLVD",
"address_2": "SUITE A-100",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935612532",
"telephone_number": "661-822-2530",
"fax_number": "661-822-2536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEHACHAPI MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2007-11-24",
"status": "A",
"authorized_official_last_name": "PESCHE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-822-2530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O,"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.