DR. MEL CLARK REQUIAS TAVEROS (NPI# 1982973582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982973582 |
| Entity Type | Individual |
| Full Name | DR. MEL CLARK REQUIAS TAVEROS |
| Credential | M.D. |
| Practice Address |
301 Brundage Ln Bakersfield CA 93304-3248 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 6613236086 |
| Practice Fax Number | 6613246301 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6616353070 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A139158 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
301 BRUNDAGE LN |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93304-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689244 | Debra Lee Stewart | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2006-02-21 |
| 1295389393 | Alyssa Garza | Behavior Technician | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2019-07-26 |
| 1225582208 | William Joseph Scully | Nurse Practitioner | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2016-08-08 |
| 1609235100 | Roxanne Martinez Mcdermott | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2016-02-12 |
| 1316331135 | Erika Miranda | Marriage & Family Therapist | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2015-03-19 |
| 1407249733 | Jennifer Diane Wetherald | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304 | 2015-03-11 |
| 1083969695 | Javier Antonio Hernandez | Nurse Practitioner | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2012-07-19 |
| 1831453836 | Jacqueline Majella Rubillar Uy | Family Medicine | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2012-06-25 |
| 1609029255 | James Scott Johnston | Neurological Surgery | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2008-10-28 |
| 1710142575 | Sonia Ghai | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041333 | Luisa Maria Jimenez | Case Manager/Care Coordinator | 3501 Wilson Road, Bakersfield, CA 93304 | 2020-04-07 |
| 1215444955 | New Start Youth Facility Inc | Clinic/Center | 2409 Belvedere Ave, Bakersfield, CA 93304 | 2018-01-03 |
| 1962924092 | Paula Rebecca Gonsalez | Case Manager/Care Coordinator | 5121 Stockdale Highway Ste. 250, Bakersfield, CA 93304 | 2017-07-11 |
| 1528400033 | Ruby Cruz | Social Worker | 609 4th Street, Bakersfield, CA 93304 | 2013-07-25 |
| 1548545502 | Deidre Rochelle Lee-mcneill | Pharmacist | 3315 South H Street, Bakresfield, CA 93304 | 2011-10-20 |
| 1770863144 | Robyn D Garcia | Marriage & Family Therapist | 3105 Wilson Road, Bakersfield, CA 93304 | 2011-08-17 |
| 1043502784 | Arthur G Kaiser | Dentist | 2023 Brundage Lane, Bakersfield, CA 93304 | 2011-05-13 |
| 1063703361 | Elite Women's Health | Obstetrics & Gynecology | 901 34th St., Bakerfield, CA 93304 | 2011-04-21 |
| 1730409020 | Kabari Jamil Thompson | Counselor | 1902 South H St., Bakersfield, CA 93304 | 2010-06-09 |
| 1932439486 | Fata Inc | Acupuncturist | 2004 Brundage Lane, Bakersfield, CA 93304 | 2010-01-06 |
| Find all providers in zip 93304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553902 | Pediatrics for All Inc | Pediatrics | 2700 F St Ste 210, Bakersfield, CA 93301-1850 | 2018-10-04 |
| 1154763720 | Aldrin Tulayan Insorio | Pediatrics | 500 40th St, Bakersfield, CA 93301-1224 | 2013-07-24 |
| 1093081119 | Elsa T Lavadia Md Inc | Pediatrics | 2323 16th Street Suite 108, Bakersfield, CA 93301-3453 | 2012-03-23 |
| 1366680530 | Ranjani Panithi | Pediatrics | 9802 Stockdale Hwy., Suite #103, Bakersfield, CA 93311-3653 | 2009-01-27 |
| 1528229689 | Alan Firas Dakak | Pediatrics | 3941 San Dimas St Ste 101, Bakersfield, CA 93301 | 2008-06-21 |
| 1639372519 | Klupsteen Patel and Khurana Mds | Pediatrics | 420 34th Street, Bakersfield Memorial Hospital, Bakersfield, CA 93301-2237 | 2007-06-07 |
| 1942416169 | William F Dinicola | Pediatrics | 300 Old River Rd Ste 125, Bakersfield, CA 93311-9506 | 2007-05-15 |
| 1821157298 | Moinuddin Habib Mokhashi | Pediatrics | 9900 Stockdale Hwy Ste 104, Bakersfield, CA 93311 | 2006-12-08 |
| 1144397852 | Sun Hi Lee | Pediatrics | 2317 17th Street, Bakersfield, CA 93301-3503 | 2006-11-29 |
| 1528147550 | Linda Reed Henderson | Pediatrics | 3004 Belhaven St, Bakersfield, CA 93304-5509 | 2006-11-02 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93304 |
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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.