COVENANT COMMUNITY MEDICAL GROUP, INC. (NPI# 1942519558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942519558 |
| Entity Type | Organization |
| Organization Name | COVENANT COMMUNITY MEDICAL GROUP, INC. |
| Practice Address |
3803 Union Ave Bakersfield CA 93305-2400 |
| Practice Telephone | 6613219206 |
| Practice Fax Number | 6613210932 |
| Mailing Telephone | 6613219206 |
| Mailing Fax Number | 6613210932 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | MRS. ARTNEY MICHELLE JACKSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6613219206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G41041 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | ZZZ27058Z | 01 |
| CA | 00G410410 | 05 |
| Street Address |
3803 UNION AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93305-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1003434440 | Centennial Hospice and Palliative Care Inc. | Hospice Care, Community Based | 3016 Union Ave, Ste. C, Bakersfield, CA 93305 | 2020-07-13 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1235772054 | Universal Healthcare Services, Inc. | Specialist | 2123 Niles St, Bakersfield, CA 93305 | 2019-10-24 |
| 1447741632 | Kern County Probation Department | Military Health Care Provider | 2005 Ridge Road, Bakersfield, CA 93305 | 2018-05-23 |
| 1164871091 | Luis Gomez | Case Manager/Care Coordinator | 1415 Truxtun Avenue, Bakersfield, CA 93305 | 2016-06-10 |
| 1659747327 | Orchid Home Health Inc. | Home Health | 3016 Union Avenue, Bakersfield, CA 93305 | 2015-08-18 |
| 1407260540 | Tracy Corbett | Counselor | 1932 Jessie Street, Bakersfield, CA 93305 | 2014-06-17 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1124371935 | Bethany Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1600 E Truxtun Ave., Bakersfield, CA 93305 | 2012-10-17 |
| Find all providers in zip 93305 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285046136 | Hamlet Garcia-pena | General Practice | 7800 Niles Street, Bakersfield, CA 93306-4937 | 2014-05-27 |
| 1619252525 | Christopher Reade Parks | General Practice | 9450 Ming Ave., Bakersfield, CA 93311 | 2011-10-12 |
| 1417165606 | Pacific Medical Group | General Practice | 3201 F St Ste 250, Bakersfield, CA 93301-1846 | 2007-05-19 |
| 1073605150 | Thomas Robert Phelps | General Practice | 2001 Old Farm Rd, Bakersfield, CA 93312-3521 | 2006-09-28 |
| 1649284670 | George Ibrahim Girgis | General Practice | 14004 Fremantle Ct, Bakersfield, CA 93314-9298 | 2006-07-27 |
| 1477598910 | Hanhey Moon | General Practice | 1491 White Lane, Bakersfield, CA 93307 | 2006-06-18 |
| 1578503256 | Ronnie Claiborne | General Practice | 1925 17th Street, Bakersfield, CA 93301-5012 | 2006-06-08 |
| 1912991233 | Jerry Lynn Seydel | General Practice | 2801 Spruce St, Bakersfield, CA 93301-1713 | 2005-08-31 |
| 1386177293 | Amna Jehan Ara Ahmed Fareedy | General Practice | 7800 Niles St, Bakersfield, CA 93306-4922 | 2017-04-07 |
| 1760845846 | Jorge David Palomino Vargas | General Practice | 7800 Niles St, Bakersfield, CA 93306-4922 | 2016-04-05 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93305 |
Please comment or provide details below to improve the information on COVENANT COMMUNITY MEDICAL GROUP, 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.