Organization Active NPI

Tribune Medical Group

  • General Practice Physician
  • Bakersfield, CA
National Provider Identifier
1700017142
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C3604747 Issued in CA
Legal business name
TRIBUNE MEDICAL GROUP
Practice address
1818 Niles St
Bakersfield, CA 93305-4910
Phone
(661) 865-8893
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Iain Gallego, FNP-C; PA-C
Title
Ceo
Phone
(661) 865-8893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X C3604747 CA Primary

Addresses

Primary practice location

1818 Niles St
Bakersfield, CA 93305-4910

Mailing address

PO Box 22096
Bakersfield, CA 93390-2096
Phone (661) 865-8893

National Provider Directory

National Provider Directory
Tax ID family
Tribune Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 Niles St
Bakersfield, CA 93305
Phone (661) 865-8893

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1700017142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22096",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902096",
            "telephone_number": "661-865-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054910",
            "telephone_number": "661-865-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBUNE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "IAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-865-8893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C; PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C3604747",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 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.