Individual provider Active NPI

Alta Grace Uytico Baruiz, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1740375054
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A062132 Issued in CA
Practice address
2203 19TH St
Bakersfield, CA 93301-3608
Phone
(661) 633-2009
NPI assigned
Oct 3, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A062132 CA Primary

Addresses

Primary practice location

2203 19TH St
Bakersfield, CA 93301-3608

Mailing address

10900 Twin Falls Dr
Bakersfield, CA 93312-2939
Phone (661) 633-2009

Other names 1

  • Dr. Altagracia Uytico Baruiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A062132CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Integrity Medical Group, Inc. Internal Medicine CurrentSince Aug 15, 2010 Accepting new patients

Locations

507 W Columbus St
Bakersfield, CA 93301
Phone (661) 328-7070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1740375054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 TWIN FALLS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122939",
            "telephone_number": "661-633-2009",
            "fax_number": "661-633-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013608",
            "telephone_number": "661-633-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUIZ",
        "first_name": "ALTA GRACE",
        "middle_name": "UYTICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A062132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALTAGRACIA",
            "last_name": "BARUIZ",
            "middle_name": "UYTICO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 29, 2011; 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.