KERN RADIOLOGY MEDICAL GROUP, INC (NPI# 1942666060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942666060 |
| Entity Type | Organization |
| Organization Name | KERN RADIOLOGY MEDICAL GROUP, INC |
| Practice Address |
4500 Morning Drive Suite 202 Bakersfield CA 93306 |
| Mailing Address |
2301 Bahamas Drive Bakersfield CA 93309 |
| Practice Telephone | 6613269600 |
| Practice Fax Number | 6613343065 |
| Mailing Telephone | 6613269600 |
| Mailing Fax Number | 6613343065 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | JERRY STURZ (CEO) |
| Authorized Official Telephone | 6613269600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417456542 | Kern Radiology Medical Group, Inc | Radiology | 501 Munzer St Ste A, Shafter, CA 93263-2042 | 2018-02-05 |
| 1699294025 | Kern Radiology Medical Group, Inc | Radiology | 432 S Mill St, Tehachapi, CA 93561-2027 | 2017-09-18 |
| 1336485218 | Kern Radiology Medical Group, Inc | Radiology | 9330 Stockdale Hwy, 100, Bakersfield, CA 93311-3614 | 2012-12-20 |
| 1750319794 | Kern Radiology Medical Group, Inc | Radiology | 420 34th St, Bakersfield, CA 93301-1888 | 2006-06-29 |
| 1720023997 | Kern Radiology Medical Group, Inc | Radiology | 2301 Bahamas Dr, Bakersfield, CA 93309-0663 | 2006-06-19 |
| 1700821972 | Kern Radiology Medical Group, Inc | Radiology | 3838 San Dimas St, A-120, Bakersfield, CA 93301-2284 | 2006-06-19 |
| Street Address |
4500 MORNING DRIVE SUITE 202 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| 1295143907 | Ninos Paul Adams | Psychiatry & Neurology | 1700 Mt.vernon Ave., Bakersfield, CA 93306 | 2014-07-25 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352194 | Quantum Medical Radiology of California, P.C. | Radiology | 10600 Dorchester St, Bakersfield, CA 93311-3595 | 2018-07-17 |
| 1013383173 | Los Robles Radiologic Associates | Radiology | 716 Windsor Park Dr, Bakersfield, CA 93311-4955 | 2015-08-12 |
| 1225245590 | Sireesha Iruvuri | Radiology | 12524 Harrington St, Bakersfield, CA 93311-8544 | 2007-05-17 |
| 1386799377 | Tony M Deeths | Radiology | 1817 Truxton Ave, Truxton Radiology Medical Group Lp, Bakersfield, CA 93301 | 2007-01-23 |
| 1205981297 | Girish Patel | Radiology | Truxtun Radiology Medical Group Lp, 1817 Truxtun Ave, Bakersfield, CA 93301 | 2007-01-23 |
| 1518036029 | Lisa Dabanian | Radiology | 13813 Toluca Dr, Bakersfield, CA 93314-9348 | 2006-11-07 |
| 1871605659 | James F Nichols | Radiology | 1914 Truxtun Ave, Bakersfield, CA 93301-5011 | 2006-08-31 |
| 1841213386 | Anna Chan | Radiology | 13007 Fall River Pl, Bakersfield, CA 93314-6502 | 2006-07-25 |
| 1508816364 | Edward Couri | Radiology | 2709 Pecangrove Dr, Bakersfield, CA 93311-2312 | 2006-05-11 |
| 1205803897 | Shawn Dale Isaeff | Radiology | 5020 Commerce Dr, E, Bakersfield, CA 93309-0631 | 2006-03-02 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.