Organization Active NPI

Neuva Wellness Medical Group

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1689158743
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NEUVA WELLNESS MEDICAL GROUP
Practice address
1801 16TH St Ste B
Bakersfield, CA 93301-5002
Phone
(661) 633-2229
Fax
(661) 631-4330
NPI assigned
Sep 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Sonia Banda
Title
Office Manager
Phone
(661) 633-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1801 16TH St Ste B
Bakersfield, CA 93301-5002

Mailing address

1801 16TH St Ste B
Bakersfield, CA 93301-5002
Phone (661) 633-2229

Other identifiers 1

IdentifierTypeStateIssuer
00G643320MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1689158743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015002",
            "telephone_number": "661-633-2229",
            "fax_number": "661-631-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015002",
            "telephone_number": "661-633-2229",
            "fax_number": "661-631-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUVA WELLNESS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-633-2229"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G643320",
            "state": "CA"
        }
    ],
    "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 24, 2018; 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.