SAN JOAQUIN VALLEY PULMONARY GROUP (NPI# 1932149283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932149283 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN VALLEY PULMONARY GROUP |
| Practice Address |
3801 San Dimas St Bakersfield CA 93301-5731 |
| Mailing Address |
Po Box 2426 Bakersfield CA 93303-2426 |
| Practice Telephone | 6613273747 |
| Practice Fax Number | 6616163237 |
| Mailing Telephone | 6613273747 |
| Mailing Fax Number | 6616163237 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MO ZAHIRUDDIN (ADMINISTRATOR) |
| Authorized Official Telephone | 6613273743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ15299Z | 01 |
| Street Address |
3801 SAN DIMAS ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535356 | Joaquin Medical Group | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2020-10-12 |
| 1255724514 | Christopher Rand Gardiner | Physician Assistant | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2015-03-11 |
| 1790178440 | Clayton Blankenship | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2015-03-05 |
| 1639587579 | Julie Christine Pruett | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2014-07-23 |
| 1477805554 | Trevor D. Williams | Physician Assistant | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2012-10-12 |
| 1700028792 | Meenakshi Sachdeva | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2009-04-06 |
| 1386898815 | Edward L Nichols Md A Medical Corporation | Clinic/Center | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2008-11-11 |
| 1639347248 | Kathy Jo Robb | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2008-02-16 |
| 1558372896 | Edward L Nichols | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-08-11 |
| 1033137591 | Mushtaq Ahmed | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063695658 | Rajan Goyal | Internal Medicine | 2901 Sillect Ave Ste 202, Bakersfield, CA 93308-6373 | 2007-12-06 |
| 1215535356 | Joaquin Medical Group | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2020-10-12 |
| 1336762731 | Kern Intensivists | Internal Medicine | 2901 Sillect Ave Ste 202, Bakersfield, CA 93308-6373 | 2020-05-20 |
| 1972726354 | Syed Alam Md Pulmonology A Professional Med Corp | Internal Medicine | 2901 Sillect Ave, Suite 202, Bakersfield, CA 93308-6370 | 2007-04-11 |
| 1861569881 | Aung Kyaw Htoo | Internal Medicine | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-11-29 |
| 1235206004 | Thu Yein | Internal Medicine | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-11-29 |
| 1134233851 | Jayaraman Chandrasekhar | Internal Medicine | 6001 Truxtun Ave, Suite 120a, Bakersfield, CA 93309-0679 | 2006-08-18 |
| 1205861523 | Augustine Delgado Munoz | Internal Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-07-12 |
| 1073541512 | Syed Alam | Internal Medicine | 2901 Sillect Ave, Suite 202, Bakersfield, CA 93308-6370 | 2006-06-30 |
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|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.