California Physician Assistant Staffing, Inc.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA011069 Issued in CA

Legal business name

CALIFORNIA PHYSICIAN ASSISTANT STAFFING, INC.

Practice address

9530 Hageman Rd
Suite B-204
Bakersfield, CA 93312-3959

Phone

(661) 742-7121

Fax

(661) 589-2326

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Harold Hanson, PA-C

Title

President / Ceo

Phone

(661) 742-7121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1770845455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 HAGEMAN RD",
            "address_2": "SUITE B-204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123959",
            "telephone_number": "661-742-7121",
            "fax_number": "661-589-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 HAGEMAN RD",
            "address_2": "SUITE B-204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123959",
            "telephone_number": "661-742-7121",
            "fax_number": "661-589-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHYSICIAN ASSISTANT STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "661-742-7121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA011069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.