Organization Active NPI

San Joaquin Valley Health Group Inc

  • Urgent Care Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1639603897
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SAN JOAQUIN VALLEY HEALTH GROUP INC
Practice address
6515 Panama Lane Suite 106-107
Bakersfield, CA 93311-9729
Phone
(661) 634-0955
Fax
(661) 634-9662
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Yadwinder Singh Kang, MDNPI 1316234941
Title
Owner
Phone
(559) 892-0646

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

6515 Panama Lane Suite 106-107
Bakersfield, CA 93311-9729

Mailing address

6515 Panama Lane Suite 106-107
Bakersfield, CA 93311-9729
Phone (661) 634-0955

Other names 1

  • 1st Choice Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170921000758 CA Part B Supplier - Clinic/Group Practice 9032496104 Receives reassigned benefits from 10 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

Locations

6324 Panama Ln
Bakersfield, CA 93313

4420 Coffee Rd
Bakersfield, CA 93308

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1639603897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 PANAMA LANE SUITE 106-107",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119729",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 PANAMA LANE SUITE 106-107",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119729",
            "telephone_number": "661-634-0955",
            "fax_number": "661-634-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN VALLEY HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YADWINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-892-0646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Choice Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1st Choice Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 17, 2019; 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.