Individual provider Active NPI

Jan Hendrik Trobisch, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1548312333
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A83160 Issued in CA
Practice address
4100 Empire Dr
Suite #120
Bakersfield, CA 93309-0410
Phone
(661) 878-9100
Fax
(661) 878-9101
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A83160 CA Primary

Addresses

Primary practice location

4100 Empire Dr
Suite #120
Bakersfield, CA 93309-0410

Mailing address

4100 Empire Dr
Suite #120
Bakersfield, CA 93309-0410
Phone (661) 878-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83160CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Lifestyle Center, Inc. Current Accepting new patients

Locations

4100 Empire Dr
Ste 120
Bakersfield, CA 93309
Phone (661) 254-3686

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1548312333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMPIRE DR",
            "address_2": "SUITE #120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090410",
            "telephone_number": "661-878-9100",
            "fax_number": "661-878-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EMPIRE DR",
            "address_2": "SUITE #120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090410",
            "telephone_number": "661-878-9100",
            "fax_number": "661-878-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROBISCH",
        "first_name": "JAN",
        "middle_name": "HENDRIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83160",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2012; 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.