Maverick Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAVERICK MEDICAL CLINIC

Practice address

2317 17TH St
Bakersfield, CA 93301-3503

Phone

(661) 213-9179

NPI assigned

Jan 6, 2025

Last updated

Jan 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrance McGill, MDNPI 1093219305

Title

President

Phone

(661) 213-9179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Terrance McGill, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1093219305
  Medicare reassignment NPD Authorized official
• Kaikei Cho, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1528142924
  NPD

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1699584300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013503",
            "telephone_number": "661-213-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013503",
            "telephone_number": "661-213-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-213-9179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kristine Mattox, RN
• Robin A Matuk, M.D.
• James Mauldin
• Jared Christian Supnet Mauricio
• Michael Philip Mauro, CADC 1
• Davi Andrade Mavromatis, MD
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maximum Transportation

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.