Organization Active NPI

Family Care Clinic Inc

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1780378539
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE CLINIC INC
Practice address
3550 Q St Ste 301
Bakersfield, CA 93301-1645
Phone
(661) 404-4445
Fax
(661) 322-8222
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Soheila TorabiNPI 1013128552
Title
Owner
Phone
(661) 404-4445

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3550 Q St Ste 301
Bakersfield, CA 93301-1645

Mailing address

3550 Q St Ste 301
Bakersfield, CA 93301-1645
Phone (661) 404-4445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718001070 CA Part B Supplier - Clinic/Group Practice 0547620981 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3550 Q St
Ste 301
Bakersfield, CA 93301
Phone (661) 321-3161

Practitioners & affiliated clinicians

Practitioners 3

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1780378539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 Q ST STE 301",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011645",
            "telephone_number": "661-404-4445",
            "fax_number": "661-322-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 Q ST STE 301",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011645",
            "telephone_number": "661-404-4445",
            "fax_number": "661-322-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "TORABI",
        "authorized_official_first_name": "SOHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-404-4445"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Jun 5, 2023; 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.