NPIMap

Organization Active NPI

Oak Hills Medical Corproation

Doing business as Diabetic Foot and Wound Care

  • Podiatrist
  • Bakersfield, CA
National Provider Identifier
1740722453
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OAK HILLS MEDICAL CORPROATION
Doing business as
Diabetic Foot and Wound Care
Heart Vascular and Leg Center
Practice address
1408 Commercial Way
Ste. a
Bakersfield, CA 93309-0407
Phone
(661) 324-4100
Fax
(661) 324-4600
NPI assigned
Nov 11, 2016
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Prof. Madeline Angela Meyer, PHD
Title
Director
Phone
(321) 274-8344

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X CA
Plastic and Reconstructive Surgery Physician 2086S0122X NU
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

1408 Commercial Way
Ste. a
Bakersfield, CA 93309-0407

Mailing address

PO Box 748792
Los Angeles, CA 90074-8792
Phone (661) 324-4100

Other names 2

  • Diabetic Foot and Wound Care Doing business as
  • Heart Vascular and Leg Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000964 CA Part B Supplier - Clinic/Group Practice 6800783283 Receives reassigned benefits from 25 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heart Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1740722453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748792",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748792",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COMMERCIAL WAY",
            "address_2": "STE. A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090407",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILLS MEDICAL CORPROATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-274-8344",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Foot and Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Vascular and Leg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.