Organization Active NPI

Mohawk Medical & Associates, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1609144039
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G39608 Issued in CA
Legal business name
MOHAWK MEDICAL & ASSOCIATES, INC.
Practice address
9908 Brimhall Rd
Bakersfield, CA 93312-2801
Phone
(661) 321-3288
Fax
(661) 847-3267
NPI assigned
Dec 13, 2011
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Jorge E. Del Toro, M.D.NPI 1730290107
Title
Owner
Phone
(661) 847-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G39608 CA Primary
General Practice Physician 208D00000X G39608 CA

Addresses

Primary practice location

9908 Brimhall Rd
Bakersfield, CA 93312-2801

Mailing address

PO Box 9879
Bakersfield, CA 93389-1879
Phone (661) 321-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120203000573 CA Part B Supplier - Clinic/Group Practice 8224295100 Receives reassigned benefits from 6 practitioners
Practice locations: Bakersfield, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0864381Mohawk Medical & Associates, Inc.9908 Brimhall Rd, Bakersfield, CA 93312Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Locations

9908 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 321-3288

9908 Brimhall Rd
Ste 101
Bakersfield, CA 93312
Phone (661) 324-4747

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1609144039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9879",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933891879",
            "telephone_number": "661-321-3288",
            "fax_number": "661-847-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122801",
            "telephone_number": "661-321-3288",
            "fax_number": "661-847-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK MEDICAL & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "DEL TORO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-847-3231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G39608",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G39608",
            "primary": false
        }
    ],
    "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 Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.