Organization Active NPI

Jerry C. Fox

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1801880703
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A24108 Issued in CA
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

Updated by the provider on Jul 8, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0025550MedicaidCA

Other names 1

  • FOX MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.