Victor George Ettinger, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G23420 Issued in CA

Practice address

2215 Truxtun Ave Ste 100
Bakersfield, CA 93301-3602

Phone

(661) 840-9270

Fax

(661) 864-7848

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Plumas Health Care District

  • Critical Access Hospital
  • Portola, CA
  • NPI 1245236850

  CA

  Medicare reassignment NPD
• Eastern Plumas Health Care Home Health

  • Home Health Agency
  • Portola, CA
  • NPI 1043216849
  NPD
• Kern Faculty Medical Group

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1174546006
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891729653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 TRUXTUN AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013602",
            "telephone_number": "661-840-9270",
            "fax_number": "661-864-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 TRUXTUN AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013602",
            "telephone_number": "661-840-9270",
            "fax_number": "661-864-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Mt. Vernon Ave.",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93306",
            "country_code": "US",
            "telephone_number": "661-872-7000",
            "fax_number": "661-871-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "VICTOR",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G23420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G234200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Louis Etcheverry, DPM
• Shelley Lynn Etcheverry, RN
• Kimberly Etchison, RN
• Evelyn Dianne Eterno, MSW ASW
• Soheil Etesham, MD
• Prince Even Arden Eugenio, RN, CNOR, RNFA
• Ev Contacts
• Allan Evangelista, D.P.M., M.P.H.
• Brande Elexis Evans, PSYD
• Gary Walter Evans, DC

• All providers in Bakersfield, CA
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.