Organization Active NPI

Pavel Moldavskiy MD PC

  • Orthopaedic Hand Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1922584747
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A128600 Issued in CA
Legal business name
PAVEL MOLDAVSKIY MD PC
Practice address
300 Old River Rd Ste 200
Bakersfield, CA 93311
Phone
(661) 664-2300
NPI assigned
Jul 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Authorized official

Name
Pavel Moldavskiy, MD
Title
Owner
Phone
(661) 664-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X A128600 CA Primary

Addresses

Primary practice location

300 Old River Rd Ste 200
Bakersfield, CA 93311

Mailing address

300 Old River Rd Ste 200
Bakersfield, CA 93311-9506
Phone (661) 664-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531612800000",
    "number": "1922584747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119506",
            "telephone_number": "661-664-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-664-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVEL MOLDAVSKIY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A",
        "authorized_official_last_name": "MOLDAVSKIY",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-664-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A128600",
            "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 Jul 15, 2018; 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.