Organization Active NPI

Preferred Family Care Physicians Medical Corporation

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1982606299
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREFERRED FAMILY CARE PHYSICIANS MEDICAL CORPORATION
Practice address
5925 Truxtun Ave Ste a
Bakersfield, CA 93309-0433
Phone
(661) 638-2273
Fax
(661) 638-2288
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Teri Reyes
Title
Office Manager
Phone
(661) 638-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

5925 Truxtun Ave Ste a
Bakersfield, CA 93309-0433

Mailing address

5925 Truxtun Ave Ste a
Bakersfield, CA 93309-0433
Phone (661) 638-2273

Other identifiers 2

IdentifierTypeStateIssuer
05D0915489OtherCACLIA
GR0070260MedicaidCA

National Provider Directory

National Provider Directory

Locations

5925 Truxtun Ave
Ste 400
Bakersfield, CA 93309
Phone (661) 638-2273

6001 Truxtun Ave
Ste 400D
Bakersfield, CA 93309

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982606299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 TRUXTUN AVE STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090433",
            "telephone_number": "661-638-2273",
            "fax_number": "661-638-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 TRUXTUN AVE STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090433",
            "telephone_number": "661-638-2273",
            "fax_number": "661-638-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY CARE PHYSICIANS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-638-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0915489",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070260",
            "state": "CA"
        }
    ],
    "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 21, 2022; 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.