CCS MEDICAL THERAPY PROGRAM


Address: 1959 Princeton St., Room 33, Delano, CA 93215-1523
Phone: 6617256452

CCS MEDICAL THERAPY PROGRAM (NPI# 1780721720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780721720
Entity Type Organization
Organization Name CCS MEDICAL THERAPY PROGRAM
Practice Address 1959 Princeton St.
Room 33
Delano
CA 93215-1523
Mailing Address 1800 Mt. Vernon Avenue
Bakersfield
CA 93306-3302
Practice Telephone 6617256452
Practice Fax Number 6617256170
Mailing Telephone 6618680306
Mailing Fax Number 6618680268
Enumeration Date 2007-01-31
Last Update Date 2009-12-23
Authorized Official Name MR. MATTHEW CONSTANTINE (DIRECTOR OF PUBLIC HEALTH SERVICES)
Authorized Official Telephone 6618680301
Is Organization Subpart Y
Parent Organization Name KERN COUNTY DEPARTMENT OF PUBLIC HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare ========= CA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA CCS00112F 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639223506 Ccs Medical Therapy Program Public Health or Welfare 601 4th St, Bakersfield, CA 93304-2221 2007-01-22

Office Location

Street Address 1959 PRINCETON ST.
ROOM 33
City DELANO
State CA
Zip Code 93215-1523

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1427699396 Clinca Sierra Vista Clinic/Center 425 Del Sol Parkway, Delano, CA 93215 2019-10-02
1609367762 Elizabeth Galaviz Alcaraz Marriage & Family Therapist 828 High Street, Suite C, Delano, CA 93215 2018-05-24
1972962819 Joy Nneka Iwuchukwu Nurse Practitioner 1201 Jefferson Street, Delano, CA 93215 2016-02-21
1154715217 Amalia Sanchez Counselor 828 High Street, Suite C, Delano, CA 93215 2015-03-26
1821435520 Wal-mart Stores, Inc Technician/Technologist 530 Woollomes Ave, Delano, CA 93215 2013-06-04
1629356522 Clinica Sierra Vista Counselor 1401 Hiett Ave, Delano, CA 93215 2011-07-26
1235435082 Jonathan James Yip Psychologist 2327 W. Cecil Ave., Delano, CA 93215 2011-01-26
1669782108 Lydia Reyes Marriage & Family Therapist 828 High Street, Ste.c, Delano, CA 93215 2010-10-18
1932341385 Lydia Soriano Zapanta Obstetrics & Gynecology 1619 Cecil Ave, Delano, CA 93215 2009-04-01
1669624714 Gurvinder Kaur Pharmacist 1800 Cecil Ave, Delano, CA 93215 2008-10-21
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306114053 State of California Public Health or Welfare 3000 West Cecil Ave., Delano, CA 93216-6000 2011-12-09

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1548893654 Transitional Nutrition LLC Public Health or Welfare 741 Jackson St, Albany, CA 94706-1134 2020-02-17
1639723760 Matthew Schultzel Do and Douglas Sullivan PC Public Health or Welfare 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 2019-07-26
1760048086 Info Line of San Diego Public Health or Welfare 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 2019-05-13
1629548615 Mojo Enterprises Inc. Public Health or Welfare 1004 Emerson St, Palo Alto, CA 94301-2416 2018-12-03
1790265163 Genben Lifesciences Corporation Public Health or Welfare 6370 Lusk Blvd Ste F205, San Diego, CA 92121 2018-08-15
1215429188 National Health Foundation Public Health or Welfare 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 2018-06-05
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Competitor

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City DELANO
Zip Code 93215

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Dataset Information

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.

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