Covenant Community Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G41041 Issued in CA

Legal business name

COVENANT COMMUNITY MEDICAL GROUP, INC.

Practice address

3803 Union Ave
Bakersfield, CA 93305-2400

Phone

(661) 321-9206

Fax

(661) 321-0932

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Artney Michelle Jackson

Title

Office Manager

Phone

(661) 321-9206

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Kathe Duanne Lundgren, ED.D.

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1457381816
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1942519558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933052400",
            "telephone_number": "661-321-9206",
            "fax_number": "661-321-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933052400",
            "telephone_number": "661-321-9206",
            "fax_number": "661-321-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COMMUNITY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ARTNEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-321-9206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G41041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G410410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ27058Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaine Michael Courage
• Court Appointed Special Advocates of Kern County
• Courtland D Keith Chiropractic, a Professional Corporation
• Eugene Thomas Couture, PH.D.
• Adriana Covarrubias Perez
• Covenant Foundation
• Cecilia Covenas
• April Covington
• Brett Daniel Cowan, MD
• Oliver Cowles, DPT

• General Practice Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.