Organization Active NPI

Highgrove Medical Clinic,Inc

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1619968583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C42525 Issued in CA
Legal business name
HIGHGROVE MEDICAL CLINIC,INC
Practice address
2701 Chester Ave
Bakersfield, CA 93301-2016
Phone
(661) 326-1600
Fax
(661) 323-0889
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffery Mark Freesemann, M.D.NPI 1336156488
Title
Ceo
Phone
(661) 326-1600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X C42525 CA Primary

Addresses

Primary practice location

2701 Chester Ave
Bakersfield, CA 93301-2016

Mailing address

2701 Chester Ave
Bakersfield, CA 93301-2016
Phone (661) 326-1600

National Provider Directory

National Provider Directory

Locations

1524 27th St
Ste 201
Bakersfield, CA 93301
Phone (661) 322-6700

830 34TH St Ste 202
Bakersfield, CA 93301
Phone (661) 323-9090

Practitioners & affiliated clinicians

Practitioners 10

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619968583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016",
            "telephone_number": "661-326-1600",
            "fax_number": "661-323-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016",
            "telephone_number": "661-326-1600",
            "fax_number": "661-323-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGROVE MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREESEMANN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-326-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C42525",
            "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 Aug 22, 2020; 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.