MOHAWK MEDICAL GROUP, INC. (NPI# 1912018581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912018581 |
| Entity Type | Organization |
| Organization Name | MOHAWK MEDICAL GROUP, INC. |
| Practice Address |
9500 Stockdale Hwy. Bakersfield CA 93311-3621 |
| Mailing Address |
P.o. Box 9879 Bakersfield CA 93389-1879 |
| Practice Telephone | 6613213288 |
| Practice Fax Number | 6618473267 |
| Mailing Telephone | 6613213288 |
| Mailing Fax Number | 6618473267 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | JORGE E. DEL TORO (CEO/OWNER) |
| Authorized Official Telephone | 6618473231 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G39608 | CA | Ambulatory Health Care Facilities |
| Street Address |
9500 STOCKDALE HWY. |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| 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 |
| 1821292012 | San Michael Pediatrics Inc | Clinic/Center | 3612 Coffee Rd Ste C, Bakersfield, CA 93308-5027 | 2007-06-12 |
| 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 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.