Gregory Richard Klis (NPI# 1508844648, PAC ID# 8729002043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1508844648 |
| PAC ID by PECOS | 8729002043 |
| Professional Enrollment ID | I20081121000134 |
| Full Name | Gregory Richard Klis |
| Organization Legal Name | SAN DIMAS MEDICAL GROUP INC |
| Address |
100 Old River Rd Bakersfield CA 93311-8823 |
| Phone Number | 6616634800 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6204874688 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050295 | MERCY HOSPITAL |
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 100 Old River Rd, Bakersfield, CA 93311-8823 | 6616634800 | SAN DIMAS MEDICAL GROUP INC |
| Organization Legal Name | SAN DIMAS MEDICAL GROUP INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Ava Williams-olango | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Wendy Crenshaw | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Noel Delmundo | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| James Michael Tsai | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Jigisha Upadhyaya | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Sauhang Patel | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Tillaikarasi Kannappan | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Callie Blair | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Luis Lopez | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Street Address |
100 OLD RIVER RD |
| City | BAKERSFIELD |
| State | CA |
| Zip | 93311-8823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Ava Williams-olango | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Wendy Crenshaw | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Noel Delmundo | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| James Michael Tsai | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Jigisha Upadhyaya | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Sauhang Patel | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Tillaikarasi Kannappan | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Callie Blair | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Luis Lopez | Obstetrics/gynecology | San Dimas Medical Group Inc | 100 Old River Rd, Bakersfield, CA 93311-8823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manju Bhalla | Nurse Practitioner | Paramvir S Rahal Md Inc | 9802 State Hwy 102, Bakersfield, CA 93311 |
| Rucha Sapan Patel | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Jared Eskew | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Darcy Hlavin | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Brendon Kimber | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Shiloh D Walton | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Deepa Konnur | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Christian G Wilkinson | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| James E Glinn Sr. | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 8200 Stockdale Hwy B1, Bakersfield, CA 93311-1004 |
| Liza Osano Liu | Physical Therapy | Terrio Therapy-fitness Inc | 8800 Stockdale Hwy, Suite 150, Bakersfield, CA 93311-1012 |
| Find all physicians in zip 93311 | |||
| City | BAKERSFIELD |
| Zip Code | 93311 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BAKERSFIELD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Gregory Richard Klis.
| 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.