STOCKDALE PODIATRY GROUP INC (NPI# 1902158074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902158074 |
| Entity Type | Organization |
| Organization Name | STOCKDALE PODIATRY GROUP INC |
| Practice Address |
3857 Stockdale Hwy Bakersfield CA 93309-2187 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 6618321666 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | DR. MARK L. HAMILTON (SECRETARY) |
| Authorized Official Telephone | 6618321666 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | STOCKDALE PODIATRY GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013013002 | Stockdale Podiatry Group Inc | Podiatrist | 110 New Stine Rd, Bakersfield, CA 93309-2605 | 2006-09-16 |
| Street Address |
3857 STOCKDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972039 | Mark L Hamilton | Podiatrist | 3857 Stockdale Hwy, Bakersfield, CA 93309-2187 | 2005-09-13 |
| 1386632834 | Mihaela Mihaluta-pasaboc | Internal Medicine | 3857 Stockdale Hwy, Bakersfield, CA 93309 | 2005-10-10 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1740724830 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 3008 Sillect Ave, Suite 100, Bakersfield, CA 93308-6340 | 2016-12-08 |
| 1801200712 | Gs Medical Center, Inc. | Non-Pharmacy Dispensing Site | 2920 F St, Suite B2, Bakersfield, CA 93301-1845 | 2014-06-18 |
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|---|---|---|---|---|
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| 1235680802 | Wizard of Eyes Optical | Non-Pharmacy Dispensing Site | 17205 Ventura Blvd Unit A, Encino, CA 91316-4007 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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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.