KERN RADIOLOGY MEDICAL GROUP, INC (NPI# 1699294025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699294025 |
| Entity Type | Organization |
| Organization Name | KERN RADIOLOGY MEDICAL GROUP, INC |
| Practice Address |
432 S Mill St Tehachapi CA 93561-2027 |
| Mailing Address |
2301 Bahamas Dr Bakersfield CA 93309-0663 |
| Practice Telephone | 6613269600 |
| Practice Fax Number | 6613343065 |
| Mailing Telephone | 6613269600 |
| Mailing Fax Number | 6613343065 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MRS. JEROME LYLE STURZ (CEO) |
| Authorized Official Telephone | 6613269600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2085R0202X | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417456542 | Kern Radiology Medical Group, Inc | Radiology | 501 Munzer St Ste A, Shafter, CA 93263-2042 | 2018-02-05 |
| 1942666060 | Kern Radiology Medical Group, Inc | Radiology | 4500 Morning Drive, Suite 202, Bakersfield, CA 93306 | 2016-01-05 |
| 1336485218 | Kern Radiology Medical Group, Inc | Radiology | 9330 Stockdale Hwy, 100, Bakersfield, CA 93311-3614 | 2012-12-20 |
| 1750319794 | Kern Radiology Medical Group, Inc | Radiology | 420 34th St, Bakersfield, CA 93301-1888 | 2006-06-29 |
| 1720023997 | Kern Radiology Medical Group, Inc | Radiology | 2301 Bahamas Dr, Bakersfield, CA 93309-0663 | 2006-06-19 |
| 1700821972 | Kern Radiology Medical Group, Inc | Radiology | 3838 San Dimas St, A-120, Bakersfield, CA 93301-2284 | 2006-06-19 |
| Street Address |
432 S MILL ST |
| City | TEHACHAPI |
| State | CA |
| Zip Code | 93561-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231661 | Susan Mcleod Cribbs | Family Medicine | 432 S Mill St, Tehachapi, CA 93561-2027 | 2005-08-09 |
| 1851468607 | Mary Anziano | Nurse Practitioner | 432 S Mill St, Tehachapi, CA 93561-2027 | 2006-11-29 |
| 1770575870 | Bryan Hiebert | General Practice | 432 S Mill St, Tehachapi, CA 93561-2027 | 2005-08-16 |
| 1245232685 | Peyton Riggs | Family Medicine | 432 S Mill St, Tehachapi, CA 93561-2027 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353795 | Charles David Arcaro | Counselor | 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 | 2020-07-10 |
| 1063042422 | Behavior Education Analysis & Research LLC | Behavioral Analyst | 26300 Chester Ct., Tehachapi, CA 93561 | 2020-01-24 |
| 1821628637 | Healing Connections: Child and Family Therapy, Inc. | Marriage & Family Therapist | 20601 Highway 202, Unit A104, Tehachapi, CA 93561 | 2020-01-21 |
| 1245798503 | Alanamarie Pearsall | Chiropractor | 20406 Brian Way, Std 4d, Tehachapi, CA 93561 | 2019-03-06 |
| 1205329430 | Stephanie Edman | Acupuncturist | 276 S. Mill St. Suite A, Tehachapi, CA 93561 | 2018-06-12 |
| 1487010476 | Cassaundra Jo Lynch | Pharmacist | 24900 Ca-202, Tehachapi, CA 93561 | 2016-01-07 |
| 1407222888 | Erin E Grillo | Physical Therapist | 815 Tucker Rd Ste C, Tehachapi, CA 93561 | 2015-08-19 |
| 1447634258 | Jennifer Diaz | Licensed Vocational Nurse | 113 E F Street, Tehachapi, CA 93561 | 2015-07-13 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1780064154 | Juan Medina | Student in an Organized Health Care Education/Training Program | 113 East F Street, Tehachapi, CA 93561 | 2015-06-01 |
| Find all providers in zip 93561 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
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| Find all providers with the same taxonomy | ||||
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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.