St Therese Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

A34791 Issued in CA

Legal business name

ST THERESE MEDICAL GROUP

Practice address

223 China Grade Loop
Bakersfield, CA 93308-1707

Phone

(661) 391-0316

Fax

(661) 391-0313

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Ferris

Title

Clinic Administrator

Phone

(661) 215-7659

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TRUXTUN PSYCHIATRIC MEDICAL GROUP Former legal business name

Tax ID family

St Therese Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Truxtun Psychiatric Medical Group

  • Psychologist
  • Bakersfield, CA
  • NPI 1194848978
  NPD tax ID

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1962653097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CHINA GRADE LOOP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-391-0316",
            "fax_number": "661-391-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CHINA GRADE LOOP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-391-0316",
            "fax_number": "661-391-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THERESE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "661-215-7659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A347910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760545974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUXTUN PSYCHIATRIC MEDICAL GROUP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shakti Dayal Srivastava, MD, FAAFP
• Sami C Srour, M.D.
• Natasha St Andrew, DPT
• St Ceci'S Care Corp
• St Paul Center 1
• St. John Critical Care Medical Group, Inc
• St. John'S Health Care Center, Inc.
• St. Therese Medical Group
• Pauline Joy Santos Sta Ana
• Raymond Allen Stabenfeldt, RADT 1

• Specialist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.