Individual provider Active NPI

Peter Nalos, MD

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1609055078
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G47900 Issued in CA
Practice address
2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6370
Phone
(661) 323-8384
Fax
(661) 864-1279
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G47900 CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X G47900 CA

Addresses

Primary practice location

2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6370

Mailing address

PO Box 9085
Bakersfield, CA 93389-9085
Phone (661) 323-8384

Other identifiers 3

IdentifierTypeStateIssuer
953511288OtherCATAX ID
00G479001OtherCAINDIVIDUAL PTAN
060012148OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000351 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7214840644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
University of Washington School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6372
Phone (661) 323-8384

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1609055078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9085",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899085",
            "telephone_number": "661-323-8384",
            "fax_number": "661-323-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086370",
            "telephone_number": "661-323-8384",
            "fax_number": "661-864-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALOS",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G47900",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G47900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953511288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "00G479001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012148",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.