San Dimas Medical Group, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SAN DIMAS MEDICAL GROUP, INC

Practice address

100 Old River Rd
Bakersfield, CA 93311-8823

Phone

(661) 663-4800

Fax

(661) 663-4871

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Peg Board, R.N.

Title

Director of Operations

Phone

(661) 663-4860

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039556

Practitioners 2

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

• Rhonda Lou Colvin, PA-C

  • Multi-Specialty Group
  • Bakersfield, CA
  • NPI 1285940635
  NPD
• Marietta Marzan-Tan, MD

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
  • NPI 1336127372
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1669689790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4800",
            "fax_number": "661-663-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4800",
            "fax_number": "661-663-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "BOARD",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "661-663-4860",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Sams, PSYD
• Dennis C Samson, CRNA
• Rahul Gobind Samtani, M.D.
• Karel Sameh Samwaeil
• San Dimas Dental Practice
• San Joaquin Community Hospital
• San Joaquin Community Hospital
• San Joaquin Community Hospital
• San Joaquin Family Medicine, a Medical Corporation
• San Joaquin Home Care

• Obstetrics & Gynecology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.