Organization Active NPI

Justin S. Tobias M D Inc

  • Anesthesiology Physician
  • Bakersfield, CA
National Provider Identifier
1760727366
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A82042 Issued in 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
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Justin Tobias, MDNPI 1174544571
Title
President
Phone
(661) 703-8016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A82042 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130206000375 CA Part B Supplier - Clinic/Group Practice 5890949440 Receives reassigned benefits from 4 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1760727366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 20TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013903",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BAHAMAS DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090746",
            "telephone_number": "661-328-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN S. TOBIAS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "TOBIAS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-703-8016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A82042",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 18, 2012; 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.