Golden Empire Pathology Medical Group, Inc.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

G80286 Issued in CA

Legal business name

GOLDEN EMPIRE PATHOLOGY MEDICAL GROUP, INC.

Practice address

1830 Flower St
Bakersfield, CA 93305-4144

Phone

(661) 326-2256

Fax

(661) 872-3366

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Philip L. Dutt, MDNPI 1649203167

Title

Owner

Phone

(661) 326-2256

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Lee Dutt

  • Anatomic Pathology & Clinical Pathology Physician
  • Bakersfield, CA
  • NPI 1649203167
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639383847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 FLOWER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054144",
            "telephone_number": "661-326-2256",
            "fax_number": "661-872-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 FLOWER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054144",
            "telephone_number": "661-326-2256",
            "fax_number": "661-872-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EMPIRE PATHOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-326-2256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "G80286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G80286",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard S. Goldberg, M.D.
• Golden Coast Psychiatry and Wellness
• Golden Empire Cardiology
• Golden Empire Cardiology, a Medical Group, Inc
• Golden Empire Managed Care, a Medical Group, Inc
• Golden Empire Transit District
• Golden Freedom Home Health LLC
• Golden Harmony Home Health LLC
• Golden Path Medical Transport Inc
• Golden Standard Hospice

• Clinical Pathology/Laboratory Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• 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.