Organization Active NPI

Gregory R Klis MD Inc

Doing business as California Obstetrics & Gynecology Institute

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1821861881
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GREGORY R KLIS MD INC
Doing business as
California Obstetrics & Gynecology Institute
Practice address
8339 Brimhall Rd Ste 1303
Bakersfield, CA 93312-4088
Phone
(661) 829-0026
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Gregory R Klis, MDNPI 1508844648
Title
Owner
Phone
(661) 340-0626

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8339 Brimhall Rd Ste 1303
Bakersfield, CA 93312-4088

Mailing address

8339 Brimhall Rd Ste 1303
Bakersfield, CA 93312-4088
Phone (661) 829-0026

Other names 1

  • California Obstetrics & Gynecology Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002371 CA Part B Supplier - Clinic/Group Practice 6507209384 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1821861881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8339 BRIMHALL RD STE 1303",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124088",
            "telephone_number": "661-829-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8339 BRIMHALL RD STE 1303",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124088",
            "telephone_number": "661-829-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R KLIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "KLIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-340-0626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Obstetrics & Gynecology Institute",
            "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 Nov 1, 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.