NPIMap

Organization Active NPI

Primary Healthcare Diagnostics, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Bakersfield, CA
National Provider Identifier
1902132277
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
C43367 Issued in CA
Legal business name
PRIMARY HEALTHCARE DIAGNOSTICS, INC.
Practice address
4300 Stine Rd
Suite 409
Bakersfield, CA 93313-2308
Phone
(661) 834-4042
Fax
(661) 834-4962
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Nazaret Vardanyan
Title
President
Phone
(661) 834-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X C43367 CA Primary

Addresses

Primary practice location

4300 Stine Rd
Suite 409
Bakersfield, CA 93313-2308

Mailing address

4300 Stine Rd
Suite 409
Bakersfield, CA 93313-2308
Phone (661) 834-4042

National Provider Directory

National Provider Directory

Locations

4300 Stine Rd
Ste 409
Bakersfield, CA 93313
Phone (661) 834-4042

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1902132277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "SUITE 409",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132308",
            "telephone_number": "661-834-4042",
            "fax_number": "661-834-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "SUITE 409",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132308",
            "telephone_number": "661-834-4042",
            "fax_number": "661-834-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "NAZARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-834-4042"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CA",
            "license": "C43367",
            "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 Nov 6, 2009; 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.