Organization Active NPI

Diana Warren, D.O., P.C.

  • Addiction Medicine (Family Medicine) Physician
  • Bakersfield, CA
National Provider Identifier
1669544193
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
DO523 Issued in AL
Legal business name
DIANA WARREN, D.O., P.C.
Practice address
4580 California Ave
Bakersfield, CA 93309-1104
Phone
(661) 327-4411
NPI assigned
Nov 13, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Mrs. Diana Waldrop Warren, D.O.NPI 1417064536
Title
Owner
Phone
(661) 412-7784

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
Addiction Medicine (Family Medicine) Physician 207QA0401X DO523 AL Primary

Addresses

Primary practice location

4580 California Ave
Bakersfield, CA 93309-1104

Mailing address

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

Other identifiers 2

IdentifierTypeStateIssuer
20A11316OtherCASTATE LICENSE
051516753MedicaidAL

National Provider Directory

National Provider Directory

Locations

42030 Highway 195
#C
Haleyville, AL 35565
Phone (205) 485-7337

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

Practitioners & affiliated clinicians

Practitioners 1

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1669544193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-327-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-327-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA WARREN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "WALDROP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-412-7784",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "DO523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20A11316",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051516753",
            "state": "AL"
        }
    ],
    "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 Sep 17, 2010; 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.