Justin S. Tobias M D Inc
Organization Active NPI Anesthesiology Physician · Bakersfield, CA
NPI 1760727366 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1760727366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A82042 (CA)
- Legal business name
- JUSTIN S. TOBIAS M D INC
- Practice address
- 2400 Bahamas Dr Ste 100
Bakersfield, CA 93309-0746 - Phone
- (661) 328-2333
- NPI assigned
- Dec 7, 2012
- Organization subpart
- No
Authorized official
- Name
- Justin Tobias, MD
- Title
- President
- Phone
- (661) 703-8016
Practitioners 4
-
Richard Paulsen, CRNA
-
Justin S Tobias, M.D.
-
Russell A Hargrove, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130206000375 | CA | Part B Supplier - Clinic/Group Practice | 5890949440 |
Receives reassigned benefits from 4 practitioners Practice locations: Bakersfield, CA |
National Provider Directory
Locations
4101 Empire Dr
Ste 130
Bakersfield, CA 93309
Phone (661) 325-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | A82042 | CA | Yes |
Addresses
Primary practice location
2400 Bahamas Dr Ste 100
Bakersfield, CA 93309-0746
Mailing address
1709 20TH St
Bakersfield, CA 93301-3903
Phone (661) 335-7755
Other providers in Bakersfield, CA
- Yi Jin Jin Jung
- Haley Marie Jungles
- Maricruz Juno Camarena
- Daniel B Jurich
- Justin Ace Deguzman DMD Inc
- Justin Thien Lee, MD Inc
- John Juve
- K K Optometric Eye Care
- Leah I Kachadoorian
- Priya Kachhwaha
All providers in Bakersfield, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.