Baiden Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49781 Issued in CA

Legal business name

BAIDEN GROUP INC

Doing business as

CALIFORNIA CITY PHARMACY

Practice address

9160 California City Blvd
California City, CA 93505-2820

Phone

(760) 373-9279

Fax

(760) 373-5271

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Amma Amihyia

Title

Owner

Phone

(760) 373-9279

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CALIFORNIA CITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1689610784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 CALIFORNIA CITY BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052820",
            "telephone_number": "760-373-9279",
            "fax_number": "760-373-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 CALIFORNIA CITY BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052820",
            "telephone_number": "760-373-9279",
            "fax_number": "760-373-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIDEN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "AMIHYIA",
        "authorized_official_first_name": "AMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-373-9279"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49781",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2114887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohannad M Abu Alrub, PHARMD
• Adventist Health Medical Center Tehachapi
• Ashmead Ali, MD
• Ashmead Ali
• Brandy Ladale Baca
• Beloved Ones
• Beloved Ones
• Beloved Ones
• Beloved Ones
• Beloved Ones

• Community/Retail Pharmacy in California City, CA
• Providers in California City, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.