NPIMap

Organization Active NPI

Advanced Medical Psychiatric Services

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1871804484
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44584 Issued in CA
Legal business name
ADVANCED MEDICAL PSYCHIATRIC SERVICES
Practice address
3409 Calloway Dr Unit 601
Bakersfield, CA 93312-2534
Phone
(661) 589-1200
Fax
(661) 589-7200
NPI assigned
Jun 29, 2010
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Jillian Pascual
Title
Administrator
Phone
(661) 589-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A44584 CA Primary

Addresses

Primary practice location

3409 Calloway Dr Unit 601
Bakersfield, CA 93312-2534

Mailing address

3409 Calloway Dr
Suite #601
Bakersfield, CA 93312-2528
Phone (661) 589-1200

Other names 1

  • Advanced Medical Psychiatric Services, Inc., A Professional Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://upload.icanotes.com/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511001140 CA Part B Supplier - Clinic/Group Practice 8123437753 Receives reassigned benefits from 3 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3409 Calloway Dr
Ste 601
Bakersfield, CA 93312
Phone (661) 589-1200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1871804484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR",
            "address_2": "SUITE #601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122528",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122534",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-589-1200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://upload.icanotes.com/",
            "affiliation": "N",
            "endpointDescription": "PHI and Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3409 Calloway Dr Unit 601",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933122534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Medical Psychiatric Services, Inc., A Professional",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 19, 2021; 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.