Dominador C Ignacio Iii
GRAND AVENUE EMERGENCY PHYSICIANS MEDICAL GROUP INC


Address: 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Phone: 6616325000

Dominador C Ignacio Iii (NPI# 1053866244, PAC ID# 3971882259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1053866244
PAC ID by PECOS 3971882259
Professional Enrollment ID I20161108002540
Full Name Dominador C Ignacio Iii
Organization Legal Name GRAND AVENUE EMERGENCY PHYSICIANS MEDICAL GROUP INC
Address 2215 Truxtun Ave
Bakersfield
CA 93301-3602
Phone Number 6616325000
Gender M
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7315206653
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050295 MERCY HOSPITAL

Other Locations

Address Phone Organization
2215 Truxtun Ave, Bakersfield, CA 93301-3602 6616325000 GRAND AVENUE EMERGENCY PHYSICIANS MEDICAL GROUP INC
4821 Panama Ln, Suite A C, Bakersfield, CA 93313-3480 6615874777 PRIORITY URGENT CARE

Organization Information

Organization Legal Name GRAND AVENUE EMERGENCY PHYSICIANS MEDICAL GROUP INC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Cheryl Durstein-decker Emergency Medicine Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Michael Lee Emergency Medicine Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Dane L Nestor Nurse Practitioner Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Laura J Hasting Nurse Practitioner Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Mohammad Larijani Emergency Medicine Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602

Office Location

Street Address 2215 TRUXTUN AVE
City BAKERSFIELD
State CA
Zip 93301-3602

Physicians in the same location

Name Specialty Organization Address
Cheryl Durstein-decker Emergency Medicine Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Danilo Le Lima Gomes Diagnostic Radiology Kern Radiology Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Shawn D Isaeff Diagnostic Radiology Kern Radiology Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
David R Condie Diagnostic Radiology Kern Radiology Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Ann Michelle R Magugat Nurse Practitioner Pinnacle Emergency Physicians of Bakersfield 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Bernard G Maristany Diagnostic Radiology Kern Radiology Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Michael Lee Emergency Medicine Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Steve S Hwang Pathology Aw Pathology Medical Group, Inc. 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Mary L Cheffers Emergency Medicine Pinnacle Emergency Physicians of Bakersfield 2215 Truxtun Ave, Bakersfield, CA 93301-3602
Dane L Nestor Nurse Practitioner Grand Avenue Emergency Physicians Medical Group Inc 2215 Truxtun Ave, Bakersfield, CA 93301-3602
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Physicians in the same zip code

Name Specialty Organization Address
Robert L Laughlin Pulmonary Disease 3838 San Dimas St, Suite A250, Bakersfield, CA 93301-1110
Laura Ragoonanan Neurology United Neuroscience Inc 3838 San Dimas St, Suite A250, Bakersfield, CA 93301-1110
Sahaphun Hansa Pulmonary Disease 3838 San Dimas St, Suite A250, Bakersfield, CA 93301-1110
Lorraine D Campbell Physician Assistant Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
David C Dougherty Internal Medicine Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
Nadeem A Goraya Family Medicine Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
Zeba Yamin Family Medicine Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
Anila Chadha Family Medicine Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
Bhupinder Kaur Nurse Practitioner Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
Karena F Regan Physician Assistant Dignity Health Medical Foundation 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-1115
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Competitor

Search similar physicians

City BAKERSFIELD
Zip Code 93301
Specialty NURSE PRACTITIONER
City + Specialty BAKERSFIELD + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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