Organization Active NPI

Peter S. McCauley, M.D., Inc

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1841349701
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G761440 Issued in CA
Legal business name
PETER S. MCCAULEY, M.D., INC
Practice address
3933 Coffee Rd
Ste. a
Bakersfield, CA 93308-5024
Phone
(661) 588-9999
Fax
(661) 588-9041
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Peter S McCauley, MD
Title
Owner
Phone
(661) 588-9999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X G761440 CA Primary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X G76144 CA

Addresses

Primary practice location

3933 Coffee Rd
Ste. a
Bakersfield, CA 93308-5024

Mailing address

PO Box 81447
Bakersfield, CA 93380-1447
Phone (661) 588-9999

Other identifiers 2

IdentifierTypeStateIssuer
P00372503OtherCAMEDICARE RAILROAD
ZZZ04219ZMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1841349701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81447",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933801447",
            "telephone_number": "661-588-9999",
            "fax_number": "661-588-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 COFFEE RD",
            "address_2": "STE. A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-9999",
            "fax_number": "661-588-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S. MCCAULEY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-588-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G761440",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G76144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00372503",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ04219Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2013; 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.