COMPREHENSIVE PEDIATRICS AND FAMILY PRACTICE MEDICAL GROUP (NPI# 1316177827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316177827 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE PEDIATRICS AND FAMILY PRACTICE MEDICAL GROUP |
| Practice Address |
1111 Columbus St Ste. 1100 Bakersfield CA 93305-1936 |
| Mailing Address |
Po Box 6578 Bakersfield CA 93386-6578 |
| Practice Telephone | 6613266546 |
| Practice Fax Number | 6618627635 |
| Mailing Telephone | 6618723311 |
| Mailing Fax Number | 6618723366 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |
| Authorized Official Name | ABU TAHER (PRESIDENT) |
| Authorized Official Telephone | 6613266546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
A106174 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1111 COLUMBUS ST STE. 1100 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93305-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437183225 | Abu Talib Taher | Pediatrics | 1111 Columbus St, Bakersfield, CA 93386 | 2006-07-10 |
| 1629688411 | Juan Ramos II | Registered Nurse | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2020-08-06 |
| 1609407394 | Renee Marie Keene | Nurse Practitioner | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2020-01-31 |
| 1114569241 | Guadalupe Chavez | Licensed Practical Nurse | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2019-10-09 |
| 1013558089 | Monette Hoburn | Nurse Practitioner | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2019-10-01 |
| 1124594015 | Kamalneel Kaur Singh | Nurse Practitioner | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2018-10-17 |
| 1811481542 | Melissa Louise Ray | Nurse Practitioner | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2018-06-16 |
| 1215421102 | Gabriel Garcia Barajas | Nurse Practitioner | 1111 Columbus St, Bakersfield, CA 93305 | 2018-06-14 |
| 1467988980 | Zachary Paul Martin | Social Worker | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2017-05-03 |
| 1356891758 | Julieana Martinez | Marriage & Family Therapist | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1003434440 | Centennial Hospice and Palliative Care Inc. | Hospice Care, Community Based | 3016 Union Ave, Ste. C, Bakersfield, CA 93305 | 2020-07-13 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1235772054 | Universal Healthcare Services, Inc. | Specialist | 2123 Niles St, Bakersfield, CA 93305 | 2019-10-24 |
| 1447741632 | Kern County Probation Department | Military Health Care Provider | 2005 Ridge Road, Bakersfield, CA 93305 | 2018-05-23 |
| 1164871091 | Luis Gomez | Case Manager/Care Coordinator | 1415 Truxtun Avenue, Bakersfield, CA 93305 | 2016-06-10 |
| 1659747327 | Orchid Home Health Inc. | Home Health | 3016 Union Avenue, Bakersfield, CA 93305 | 2015-08-18 |
| 1407260540 | Tracy Corbett | Counselor | 1932 Jessie Street, Bakersfield, CA 93305 | 2014-06-17 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1124371935 | Bethany Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1600 E Truxtun Ave., Bakersfield, CA 93305 | 2012-10-17 |
| Find all providers in zip 93305 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
| 1629541685 | Pinnacle Primary Care Inc. | Family Medicine | 1520 Brundage Ln, Bakersfield, CA 93304-2949 | 2019-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247876 | Lori A Musto, Do | Family Medicine | 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 | 2020-05-28 |
| 1548823867 | Inland Empire Medical Group, Inc | Family Medicine | 10250 Country Club Dr Ste A, Jurupa Valley, CA 91752-1328 | 2019-04-22 |
| 1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
| 1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
| 1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
| 1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
| 1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
| 1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
| 1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
| 1316046253 | Sam Shiesha | Family Medicine | 25101 Bear Valley Rd, Pmb 347, Tehachapi, CA 93561-8311 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93305 |
Please comment or provide details below to improve the information on COMPREHENSIVE PEDIATRICS AND FAMILY PRACTICE MEDICAL GROUP.
| 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.