Individual provider Active NPI

Bruce Jay Joseph, M.D.

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1598841694
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30283 Issued in CA
Practice address
6001 Truxtun Ave
Suite 220
Bakersfield, CA 93309-0679
Phone
(661) 323-6660
Fax
(661) 323-3534
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G30283 CA Primary

Addresses

Primary practice location

6001 Truxtun Ave
Suite 220
Bakersfield, CA 93309-0679

Mailing address

6001 Truxtun Ave
Suite 220
Bakersfield, CA 93309-0679
Phone (661) 323-6660

Other identifiers 1

IdentifierTypeStateIssuer
4193733MedicaidCA

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
G30283CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598841694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 220",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6660",
            "fax_number": "661-323-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 220",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6660",
            "fax_number": "661-323-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BRUCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4193733",
            "state": "CA"
        }
    ],
    "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 Jul 9, 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.