San Joaquin Valley Pulmonary Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SAN JOAQUIN VALLEY PULMONARY GROUP

Practice address

5801 Truxtun Ave
Bakersfield, CA 93309-0609

Phone

(661) 327-3747

Fax

(661) 616-3237

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mo Zahiruddin

Title

Administrator

Phone

(661) 327-3743

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mushtaq Ahmed, MD

  • Pulmonary Disease Physician
  • Bakersfield, CA
  • NPI 1033137591

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kamaljeet Kaur Gill, FNP

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1285351528
  Medicare reassignment Care Compare group NPD
• Claudia Cecilia Ortiz, NP

  • Nurse Practitioner
  • Bakersfield, CA
  • NPI 1912570391
  Medicare reassignment Care Compare group NPD
• Farhan Ali Shah, MD

  • Hospitalist Physician
  • Bakersfield, CA
  • NPI 1609079748
  Medicare reassignment Care Compare group
• Ned Devasia, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1255435376
  Medicare reassignment NPD
• Gursharan Singh Saini, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Bakersfield, CA
  • NPI 1518015288

  Single Specialty

  Medicare reassignment NPD
• Vincent Raymond Guerena, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1295856409
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1932149283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090609",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090609",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Adkisson Way",
            "address_purpose": "LOCATION",
            "city": "Taft",
            "state": "CA",
            "postal_code": "932683600",
            "country_code": "US",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JOAQUIN VALLEY PULMONARY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "ZAHIRUDDIN",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-327-3743"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ15299Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Joaquin Family Medicine, a Medical Corporation
• San Joaquin Home Care
• San Joaquin Sleep Care LLC
• San Joaquin Valley Health Group Inc
• San Joaquin Valley Health Group Inc
• San Joaquin Valley Surgery Center, LLC
• San Joaquin Wellness & Medical Group, Inc
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc
• San Michael Pediatrics Inc
• Deborah Kristy San-Gil, MSN, FNP-BC, NP-C

• Pulmonary Disease Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.