St. Therese Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

A42316 Issued in CA

Legal business name

ST. THERESE MEDICAL GROUP

Practice address

511 W Columbus St
Bakersfield, CA 93301-1201

Phone

(661) 391-0305

Fax

(661) 391-0313

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Cindy Ferris

Title

Administrator

Phone

(661) 391-0305

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Oriente M Esposo, M.D.

  • Specialist
  • Bakersfield, CA
  • NPI 1437262474
  Medicare reassignment NPD
• Mohamed M. Hammami, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1285049726
  Medicare reassignment NPD
• Grace Sotto Navea, FNP

  • Nurse Practitioner
  • Bakersfield, CA
  • NPI 1922825793
  NPD
• Franz Gliederer, MD, MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Bakersfield, CA
  • NPI 1831318765
  NPD (past)
• Randolph Del Castillo Senining, MD

  • Infectious Disease Physician
  • Bakersfield, CA
  • NPI 1841216405
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1649275264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 MEANY AVE",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085199",
            "telephone_number": "661-391-0305",
            "fax_number": "661-391-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011201",
            "telephone_number": "661-391-0305",
            "fax_number": "661-391-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THERESE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-391-0305"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083054",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A42316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Ceci'S Care Corp
• St Paul Center 1
• St Therese Medical Group
• St. John Critical Care Medical Group, Inc
• St. John'S Health Care Center, Inc.
• Pauline Joy Santos Sta Ana
• Raymond Allen Stabenfeldt, RADT 1
• Montana Stabile
• Sierra Stafford
• Pamela C. Staiger, MD

• Specialist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.