Pinnacle Primary Care Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINNACLE PRIMARY CARE INC.

Practice address

1520 Brundage LN
Bakersfield, CA 93304-2949

Phone

(661) 321-9138

Fax

(661) 321-9186

NPI assigned

Jan 2, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE PRIMARY CARE INC.As reported in NPPES

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

Authorized official

Name

Mr. Eural E. Gordon, N.P. PAC

Title

Owner

Phone

(661) 321-9138

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Pinnacle Primary Care Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1619244688

  O20120113000189

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Pinnacle Primary Care Inc2 organizations share this tax ID, including this one

Part of

Pinnacle Primary Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Primary Care Inc

  • Primary Care Clinic/Center
  • Bakersfield, CA
  • NPI 1972877108
  NPD tax ID

Practitioners 2

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.

• Renee Michelle Rocha, NP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1336651223

  Multi-Specialty

  NPD
• William Joseph Scully, NP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1225582208
  NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1629541685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042949",
            "telephone_number": "661-321-9138",
            "fax_number": "661-321-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042949",
            "telephone_number": "661-321-9138",
            "fax_number": "661-321-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PRIMARY CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE PRIMARY CARE INC.",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "EURAL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-321-9138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.P. PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp
• Pinnacle Optometric Eye Care
• Pinnacle Primary Care Inc
• Pinnacle Primary Care Inc
• Pinnacle Women's Health Group Inc.
• Jovan S Pino
• Ethena Jae Francisco Pinoliar
• Juan M Pinon, SUBSTANCE ABUSE COUN
• Marah Isaiah De Latorre Pinquian, NONE

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.