Organization Active NPI

Sillect Orthopedic Group

  • Orthopaedic Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1760994354
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A38702 Issued in CA
Legal business name
SILLECT ORTHOPEDIC GROUP
Practice address
2901 Sillect Ave
Bakersfield, CA 93308-6371
Phone
(661) 327-2101
Fax
(661) 327-2554
NPI assigned
Nov 3, 2017
Organization subpart
Yes
Parent organization
CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Mr. Ty Heckman
Title
Manager
Phone
(661) 706-9444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X A38702 CA Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X A63639 CA

Addresses

Primary practice location

2901 Sillect Ave
Bakersfield, CA 93308-6371

Mailing address

2901 Sillect Ave
Bakersfield, CA 93308-6371
Phone (661) 327-2101

Other practice location 1

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone (559) 412-7556

Other practice location 2

1526 S Mooney Blvd
Visalia, CA 93277-4442
Phone (559) 802-5342

Other practice location 3

2323 16th St Ste 201
Bakersfield, CA 93301-3453
Phone (661) 326-1576

National Provider Directory

National Provider Directory
Part of
California Inst of Cos Rec

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1760994354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086371",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086371",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 W Herndon Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117118",
            "country_code": "US",
            "telephone_number": "559-412-7556",
            "fax_number": "559-412-7317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1526 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774442",
            "country_code": "US",
            "telephone_number": "559-802-5342",
            "fax_number": "661-578-6597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 16th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013453",
            "country_code": "US",
            "telephone_number": "661-326-1576",
            "fax_number": "661-326-1598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILLECT ORTHOPEDIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "HECKMAN",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-706-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38702",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A63639",
            "primary": false
        }
    ],
    "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 Jun 24, 2019; 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.