Pediatric Cardiac Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDIATRIC CARDIAC CLINIC

Doing business as

Pediatric Cardiac Clinic

Practice address

616 34TH St
Bakersfield, CA 93301-2208

Phone

(661) 634-0955

Fax

(661) 634-9662

NPI assigned

May 25, 2013

Last updated

May 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eleftherios B Sideris, MD

Title

President

Phone

(661) 634-0955

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Cardiac Clinic Doing business as

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369440000000",
    "number": "1578900932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012208",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012208",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIAC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-25",
        "last_updated": "2013-05-25",
        "status": "A",
        "authorized_official_last_name": "SIDERIS",
        "authorized_official_first_name": "ELEFTHERIOS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-634-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiac Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric A. Peck, M.D.
• Monica Peck, M.S.W., LCSW#26360
• Kaleena Ped
• Ted T Pedersen, D.C.
• Pedi Center, a Medical Group Inc. (The Pedi Center)
• Pediatric Diagnostic Cardiac Services, Inc
• Pediatric Endocrinology & Diabetes Cons
• Pediatric Heart Center
• Pediatric Heart Center, Inc.
• Pediatric Kidney Center Inc

• Specialist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; 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.