NPIMap

Organization Active NPI

Kern Radiology Medical Group

  • Diagnostic Radiology Physician
  • Delano, CA
National Provider Identifier
1790109130
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KERN RADIOLOGY MEDICAL GROUP
Practice address
1427 S Lexington St
Building a, Suite 10
Delano, CA 93215-9273
Phone
(661) 326-9600
Fax
(661) 334-3065
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
John Maurice Gundzk, MD
Title
Radiologist
Phone
(661) 395-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CA Primary

Addresses

Primary practice location

1427 S Lexington St
Building a, Suite 10
Delano, CA 93215-9273

Mailing address

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000421 CA Part B Supplier - Clinic/Group Practice 7214826460 Receives reassigned benefits from 245 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hacienda Heights, CA; Huntington Beach, CA; Irvine, CA; Lake Isabella, CA; Lamont, CA; Lebec, CA; Los Angeles, CA; Malibu, CA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kern Radiology Med GRP Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1427 S Lexington St
Bldg A
Delano, CA 93215
Phone (661) 725-1094

Practitioners & affiliated clinicians

Practitioners 1

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": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1790109130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BAHAMAS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090663",
            "telephone_number": "661-326-9600",
            "fax_number": "661-334-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 S LEXINGTON ST",
            "address_2": "BUILDING A, SUITE 10",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159273",
            "telephone_number": "661-326-9600",
            "fax_number": "661-334-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "GUNDZK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "661-395-3272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.