Visalia Anesthesia Medical Associates

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

VISALIA ANESTHESIA MEDICAL ASSOCIATES

Practice address

4500 Morning Dr
Bakersfield, CA 93306-7275

Phone

(209) 956-7732

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Freddie McClendon, MD

Title

Group President

Phone

(209) 956-7732

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1720033301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95267",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MORNING DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067275",
            "telephone_number": "209-956-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA ANESTHESIA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "209-956-7732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vipmd
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• Vipmd
• Jestina Michelle Virden
• Virdi Professionals Inc
• Visalia Recovery Center
• Visioncare of California Inc.
• Visionpro Optometry, PC
• Giann Visque, PT, DPT
• Vistacare LLC

• Anesthesiology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.