SAN MICHAEL PEDIATRICS INC (NPI# 1821292012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821292012 |
| Entity Type | Organization |
| Organization Name | SAN MICHAEL PEDIATRICS INC |
| Practice Address |
3612 Coffee Rd Ste C Bakersfield CA 93308-5027 |
| Practice Telephone | 6615876464 |
| Mailing Telephone | 6615876464 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EMAD FARID SHAFIC (OFFICER) |
| Authorized Official Telephone | 6615876464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A84684 | CA | Ambulatory Health Care Facilities |
| Street Address |
3612 COFFEE RD STE C |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942677760 | Better Nights Sleep Center, Inc. | Clinical Medical Laboratory | 3612 Coffee Rd Ste C, Bakersfield, CA 93308-5084 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1427677319 | Passqual, Inc. | Clinic/Center | 600 Jasmine Parke Dr Apt 1, Bakersfield, CA 93312-3429 | 2020-04-10 |
| 1932749108 | Vanguard Medical Corporation | Clinic/Center | 500 Old River Rd Ste 250, Bakersfield, CA 93311-9515 | 2020-01-15 |
| 1790160539 | Aimee Marie Franco | Clinic/Center | 6112 Tahitian Pearl Dr, Bakersfield, CA 93313-5326 | 2015-07-22 |
| 1265853295 | Personalized Family Medicine, Inc. | Clinic/Center | 2308 Haggin Oaks Blvd, Bakersfield, CA 93311-1563 | 2013-12-17 |
| 1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
| 1205165107 | Central Medical Group, Inc. | Clinic/Center | 9500 Stockdale Hwy #200, Bakersfield, CA 93311 | 2009-12-24 |
| 1295895522 | Ajitpal S. Tiwana,m.d.,inc. | Clinic/Center | 2700 F St, #100, Bakersfield, CA 93301-1848 | 2006-12-08 |
| 1518036037 | El Dorado Community Service Center | Clinic/Center | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-07 |
| 1912018581 | Mohawk Medical Group, Inc. | Clinic/Center | 9500 Stockdale Hwy., Bakersfield, CA 93311-3621 | 2006-08-31 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93308 |
Please comment or provide details below to improve the information on SAN MICHAEL PEDIATRICS INC.
| 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.