Organization Active NPI

Pinnacle Primary Care Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1619244688
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PINNACLE PRIMARY CARE INC
Practice address
7400 District Blvd
Ste C
Bakersfield, CA 93313-4817
Phone
(661) 847-9773
Fax
(661) 847-7976
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Asela Jumao-As, M.D.NPI 1841278967
Title
Shareholder
Phone
(661) 847-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

7400 District Blvd
Ste C
Bakersfield, CA 93313-4817

Mailing address

7400 District Blvd
Ste C
Bakersfield, CA 93313-4817
Phone (661) 847-9773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000189 CA Part B Supplier - Clinic/Group Practice 6204003361 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1619244688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 DISTRICT BLVD",
            "address_2": "STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134817",
            "telephone_number": "661-847-9773",
            "fax_number": "661-847-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 DISTRICT BLVD",
            "address_2": "STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134817",
            "telephone_number": "661-847-9773",
            "fax_number": "661-847-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "JUMAO-AS",
        "authorized_official_first_name": "ASELA",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "661-847-9773",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "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 Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.