DR. PETER REEVES MALLEN (NPI# 1134296387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134296387 |
| Entity Type | Individual |
| Full Name | DR. PETER REEVES MALLEN |
| Credential | M.D., FRCS(C), FACS |
| Practice Address |
11606 Harrington St Bakersfield CA 93311-9273 |
| Practice Telephone | 6616652363 |
| Practice Fax Number | 6616637657 |
| Mailing Telephone | 6616652363 |
| Mailing Fax Number | 6616637657 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | CA28610 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11606 HARRINGTON ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-9273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1841529757 | Shahab P Hillyer | Urology | 9300 Stockdale Hwy Ste 100, Bakersfield, CA 93311-3611 | 2009-12-24 |
| 1891896023 | Shabbir A Shakir | Urology | 2808 F St, E, Bakersfield, CA 93301-1833 | 2006-09-26 |
| 1598796799 | Robert L Waguespack Md, Apc | Urology | 2530 F St, Suite 101, Bakersfield, CA 93301-3843 | 2006-07-05 |
| 1588647481 | Robert L. Waguespack | Urology | 3550 Q St Ste 302, Bakersfield, CA 93301-1645 | 2005-11-23 |
| 1225689052 | David Horovitz, M.d., Inc. | Urology | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2019-09-23 |
| 1417414004 | Michael G Oefelein, M.d., Inc. | Urology | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2019-03-01 |
| 1013309947 | David Horovitz | Urology | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2015-03-02 |
| 1477819621 | Gaurav Sudhir Mehta | Urology | 2531 Chester Ave, Bakersfield, CA 93301-2012 | 2012-04-02 |
| 1992091748 | Edwin Arthur Youngstrom | Urology | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2011-06-21 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.