Active NPI
Rafael Huezo, MD
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1891006375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 121288
- Practice address
- 1430 Truxtun Ave Ste 400
Bakersfield, CA 93301-5220 - Phone
- (661) 635-3050
- Fax
- (661) 869-1503
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 121288 | CA | Primary |
Addresses
Primary practice location
1430 Truxtun Ave Ste 400
Bakersfield, CA 93301-5220
Mailing address
8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2019 through Mar 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121288 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1891006375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8787 HALL RD",
"city": "LAMONT",
"state": "CA",
"postal_code": "932411953",
"telephone_number": "661-845-3731",
"fax_number": "661-845-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TRUXTUN AVE STE 400",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933015220",
"telephone_number": "661-635-3050",
"fax_number": "661-869-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEZO",
"first_name": "RAFAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "121288",
"primary": true
}
],
"identifiers": [],
"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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.