PREMIER NEUROLOGY OF BAKERSFIELD INC (NPI# 1962746149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962746149 |
| Entity Type | Organization |
| Organization Name | PREMIER NEUROLOGY OF BAKERSFIELD INC |
| Practice Address |
3838 San Dimas St Bldg A Suite 250 Bakersfield CA 93301-2284 |
| Practice Telephone | 6613235300 |
| Practice Fax Number | 6613235455 |
| Mailing Telephone | 6613235300 |
| Mailing Fax Number | 6613235455 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | DR. ROBERT L LAUGHLIN (PRESIDENT OF THE CORPORATION) |
| Authorized Official Telephone | 6613235300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Street Address |
3838 SAN DIMAS ST BLDG A SUITE 250 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-2284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1720600497 | Suzzeth Reid | Specialist/Technologist | 3838 San Dimas St, Bakersfield, CA 93301-2284 | 2020-05-15 |
| 1619533791 | Greg Lane | Registered Nurse | 3838 San Dimas St, Bakersfield, CA 93301-2284 | 2019-05-14 |
| 1497128557 | United Neuroscience, Inc | Psychiatry & Neurology | 3838 San Dimas St, Suite A 140, Bakersfield, CA 93301-2284 | 2015-11-10 |
| 1083971881 | Dignity Health Medical Foundation | Clinic/Center | 3838 San Dimas St, Bldg. A #200, Bakersfield, CA 93301-2284 | 2012-04-18 |
| 1548536261 | Premier Medical Associates, Inc | Internal Medicine | 3838 San Dimas St, Building A Suite 250, Bakersfield, CA 93301-2284 | 2012-03-27 |
| 1114221785 | Pamela Idella Smith | Nurse Practitioner | 3838 San Dimas St, B-231, Bakersfield, CA 93301-2284 | 2010-12-22 |
| 1760703078 | Jing Zhou | Surgery | 3838 San Dimas St, Suite B231, Bakersfield, CA 93301-2284 | 2010-06-21 |
| 1417274465 | Zeba Yamin | Family Medicine | 3838 San Dimas St, Building A, Suite 200, Bakersfield, CA 93301-2284 | 2010-04-30 |
| 1861716490 | Monica Peck | Social Worker | 3838 San Dimas St, Ste A100, Bakersfield, CA 93301-2286 | 2010-03-25 |
| 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 | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714453 | Katayoun Sabetian | Neuromusculoskeletal Medicine & OMM | 2323 16th St Ste 206, Bakersfield, CA 93301-3453 | 2006-10-14 |
| 1427155506 | Grace Roselle Willis | Neuromusculoskeletal Medicine & OMM | 3106 Old Farm Road, Bakersfield, CA 93312-3402 | 2006-09-20 |
| 1376602037 | Robert Bruce Christopher | Neuromusculoskeletal Medicine & OMM | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-12-08 |
| 1790844355 | Mark L. Nystrom | Neuromusculoskeletal Medicine & OMM | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-12-08 |
| 1023185048 | William H. Browning | Neuromusculoskeletal Medicine & OMM | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-11-29 |
| 1740215763 | Michael Evan Davies | Neuromusculoskeletal Medicine & OMM | 4100 Truxtun Ave Ste 200, Bakersfield, CA 93309-0656 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860743 | Roeshan Shadravan | Neuromusculoskeletal Medicine & OMM | 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 | 2020-01-11 |
| 1548722416 | R. Mitchell Hiserote Do, Professional Corporation | Neuromusculoskeletal Medicine & OMM | 7064 Corline Ct Ste C1, Sebastopol, CA 95472-4528 | 2019-04-01 |
| 1851768899 | Petaluma Acupuncture Center | Neuromusculoskeletal Medicine & OMM | 720 Southpoint Blvd Ste 211, Petaluma, CA 94954-7496 | 2015-08-25 |
| 1063800258 | Kulveen Sachdeva, Md Inc. | Neuromusculoskeletal Medicine & OMM | 5401 Norris Canyon Road, Suite 110, San Ramon, CA 94583-5402 | 2014-12-23 |
| 1982010559 | Walter Jaye Cohen | Neuromusculoskeletal Medicine & OMM | 3706 Ruffin Rd Ste 129, San Diego, CA 92123-1812 | 2014-07-03 |
| 1962815068 | Sunil Bhat | Neuromusculoskeletal Medicine & OMM | 2555 Flores St Ste 395, San Mateo, CA 94403-2344 | 2014-06-05 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1447597349 | Lee Ann Marie Cuny | Neuromusculoskeletal Medicine & OMM | 1502 Tennessee St, Vallejo, CA 94590-4627 | 2013-01-11 |
| 1285985820 | Annette Hulse | Neuromusculoskeletal Medicine & OMM | 1 1st St Ste 3, Los Altos, CA 94022-2753 | 2012-09-23 |
| 1871853796 | Brian Peternell | Neuromusculoskeletal Medicine & OMM | 584 35th Ave, Santa Cruz, CA 95062-5111 | 2012-05-24 |
| 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.