Anil Mehta MD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A38980 Issued in CA

Legal business name

ANIL MEHTA MD INC

Practice address

3941 San Dimas St
104
Bakersfield, CA 93301-5734

Phone

(661) 322-8466

Fax

(661) 322-5902

NPI assigned

Oct 5, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Forsythe

Title

Business Manager

Phone

(661) 322-8466

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1841509064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 SAN DIMAS ST",
            "address_2": "104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015734",
            "telephone_number": "661-322-8466",
            "fax_number": "661-322-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 SAN DIMAS ST",
            "address_2": "104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015734",
            "telephone_number": "661-322-8466",
            "fax_number": "661-322-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL MEHTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "661-322-8466"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A38980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A38980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Anglin
• Yanett Anguiano-Alvarez, RN BSN PHN
• Gabriela Angulo Zevallos, M.D.
• Briseida Angulo
• Juliana Anifowoshe
• Melvin Atienza Anonuevo
• Oscar Anseno
• Jennifer Theresa Ansolabehere, RN.,BSN.,PHN
• Marian M. Ansolabehere, RN PHN BSN
• Lindsey Anne Anspach, L-305882

• Preferred Provider Organization in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.