Mastercare Independent Physicians Medical Group Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MASTERCARE INDEPENDENT PHYSICIANS MEDICAL GROUP INC

Doing business as

MasterCare

Practice address

4550 California Ave
Suite 500
Bakersfield, CA 93309-7012

Phone

(661) 716-7100

Fax

(661) 716-9156

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Charles Vincent Phillips, MD

Title

Ipa President

Phone

(661) 716-7100

Specialties & licenses 1

Addresses

Other names 1

• MasterCare Doing business as

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1730595513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 CALIFORNIA AVE",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097012",
            "telephone_number": "661-716-7100",
            "fax_number": "661-716-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CALIFORNIA AVE",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097012",
            "telephone_number": "661-716-7100",
            "fax_number": "661-716-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERCARE INDEPENDENT PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "IPA PRESIDENT",
        "authorized_official_telephone_number": "661-716-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MasterCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasey Massey
• Artin Massihi, M.D.
• Barry Jon Massirio, PA-C
• Massoumi DDS Inc
• Sayeh Emily Massoumi, DDS
• Alicia Mata
• Amanda Mata
• Edith Mata
• Gloria Mata
• Michael Mata

• Preferred Provider Organization in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.