San Michael Pediatrics Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A84684 Issued in CA

Legal business name

SAN MICHAEL PEDIATRICS INC

Practice address

3612 Coffee Rd Ste C
Bakersfield, CA 93308-5027

Phone

(661) 587-6464

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emad Farid Shafic, M.D.NPI 1033111471

Title

Officer

Phone

(661) 587-6464

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emad Shafic, MD

  • Pediatrics Physician
  • Bakersfield, CA
  • NPI 1033111471
  NPD (past) Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821292012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 COFFEE RD STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085027",
            "telephone_number": "661-587-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 COFFEE RD STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085027",
            "telephone_number": "661-587-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MICHAEL PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFIC",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "FARID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "661-587-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A84684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Luis Physical Therapy & Orthopedic Rehabilitation Inc
• Deborah Kristy San-Gil, MSN, FNP-BC, NP-C
• Gisselle Sanchez Aguirre
• Karina Sanchez Lopez
• Marisol Sanchez Verdin
• Estela Sanchez-Ballard, LCSW

• Primary Care Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.