NPIMap

Organization Active NPI

Central Nephrology Medical GRP Inc

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1750450698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CENTRAL NEPHROLOGY MEDICAL GRP INC
Practice address
5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612
Phone
(661) 323-2847
Fax
(661) 323-0566
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Ann Bisogno
Title
Business Manager
Phone
(661) 323-2847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612

Mailing address

5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612
Phone (661) 323-2847

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ74656ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750450698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEPHROLOGY MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BISOGNO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "661-323-2847"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74656Z",
            "state": "CA"
        }
    ],
    "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 Aug 22, 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.