Organization Active NPI

Tehachapi Medical Clinic

  • Family Medicine Physician
  • Tehachapi, CA
National Provider Identifier
1538285697
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5732 Issued in CA
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

Updated by the provider on Nov 24, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.