Active NPI
Jerry C. Fox
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1801880703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A24108
- Legal business name
- JERRY C. FOX
- Practice address
- 1520 Brundage LN
Bakersfield, CA 93304-2949 - Phone
- (661) 323-2720
- Fax
- (661) 323-5498
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry C Fox, M.D.
- Title
- Owner
- Phone
- (661) 327-4279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A24108 | CA | Primary |
Addresses
Primary practice location
1520 Brundage LN
Bakersfield, CA 93304-2949
Mailing address
904 E Brundage LN
Bakersfield, CA 93307-3467
Phone (661) 323-2720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0025550 | Medicaid | CA |
Other names 1
- FOX MEDICAL CLINIC
National Provider Directory
National Provider DirectoryLocations
904 E Brundage Ln
Bakersfield, CA 93307
Phone (661) 325-1614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278547200000",
"number": "1801880703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933073467",
"telephone_number": "661-323-2720",
"fax_number": "661-323-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933042949",
"telephone_number": "661-323-2720",
"fax_number": "661-323-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY C. FOX",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2010-07-08",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-327-4279",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A24108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0025550",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOX MEDICAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.