DR. JOHN LOUIS ETCHEVERRY (NPI# 1760573745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760573745 |
| Entity Type | Individual |
| Full Name | DR. JOHN LOUIS ETCHEVERRY |
| Credential | DPM |
| Practice Address |
2400 Bahamas Dr Suite 200 Bakersfield CA 93309-0745 |
| Practice Telephone | 6613282323 |
| Practice Fax Number | 6613285573 |
| Mailing Telephone | 6613282323 |
| Mailing Fax Number | 6613285573 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4099 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00904698 | 01 |
| BLUE SHIELD | 000E40990 | 01 |
| Street Address |
2400 BAHAMAS DR SUITE 200 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
| 1891255394 | Regents of The University of California | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2019-03-21 |
| 1063962025 | Kimberly Keathley | Physical Therapist | 2400 Bahamas Dr, 100, Bakersfield, CA 93309-0745 | 2016-10-13 |
| 1023464633 | Alexandra K. Valos | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2016-05-12 |
| 1518208081 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2013-03-08 |
| 1952653818 | Carrie Alejandro | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2012-10-02 |
| 1548588270 | John L Etcheverry Dpm Inc | Podiatrist | 2400 Bahamas Dr, 200, Bakersfield, CA 93309-0745 | 2010-05-05 |
| 1831339944 | Shelby Bentz M.d. Inc | Anesthesiology | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2009-03-02 |
| 1730335548 | David Kamil Wahba | Anesthesiology | 2400 Bahamas Dr, Suite 200, Bakersfield, CA 93309-0745 | 2008-08-12 |
| 1013179712 | Fadi S Saied | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1942615299 | Ruben Alcides Nieto | Podiatrist | 1408 Commercial Way Ste A, Bakersfield, CA 93309-0407 | 2014-06-25 |
| 1528226453 | California Foot & Ankle Doctors | Podiatrist | 307 S Chester Ave, Bakersfield, CA 93304-3650 | 2008-05-28 |
| 1356563233 | Ky P. Ho | Podiatrist | 3501 Stockdale Hwy Suite F, Bakersfield, CA 93309 | 2007-05-02 |
| 1912081662 | Jim Malone Dpm A Professional Corp | Podiatrist | 4000 Stockdale Hwy Ste C, Bakersfield, CA 93309-2059 | 2006-10-25 |
| 1750390746 | Gregory Dwight Hartman | Podiatrist | 3501 Stockdale Hwy Ste F, Bakersfield, CA 93309-2150 | 2006-08-07 |
| 1851364640 | Moshe Sinaie | Podiatrist | 500 Old River Rd Ste 185, Bakersfield, CA 93311-9505 | 2006-02-10 |
| 1730543083 | Kyle Huber | Podiatrist | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2016-04-12 |
| 1336554476 | Benjamin Suh | Podiatrist | 110 New Stine Rd, Bakersfield, CA 93309-2605 | 2014-06-27 |
| 1861832008 | Joshua R. Modlin Dpm | Podiatrist | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2013-07-02 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on DR. JOHN LOUIS ETCHEVERRY.
| 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.