EDMUND FISHER, M.D., INC NPI 1003003401
Clinic/Center (Health Service) in Bakersfield, CA
About EDMUND FISHER, M.D., INC
Edmund Fisher, M.d.,inc is a provider established in Bakersfield, California specializing in clinic/center (health service) . The NPI number of Edmund Fisher, M.d.,inc is 1003003401 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QH0100X with license number A60418 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Karla Galindo (Office Manager)
| NPI | 1003003401 |
| Provider Name | EDMUND FISHER, M.D.,INC |
| Provider Location Address | 5301 TRUXTUN AVE SUITE 200 BAKERSFIELD, CA 93309 |
| Provider Mailing Address | 4450 CALIFORNIA AVE PO BOX 314 BAKERSFIELD, CA 93309 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-28-2007 |
| Last Update Date | 04-14-2014 |
Primary Taxonomy
| Taxonomy Code | 261QH0100X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Health Service |
| License No. | A60418 |
| License State | CA |
Business Address
EDMUND FISHER, M.D.,INC
5301 TRUXTUN AVE
SUITE 200
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 323-6200
Fax: (661) 323-6223
Mailing Address
EDMUND FISHER, M.D.,INC
4450 CALIFORNIA AVE
PO BOX 314
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 323-6200
Fax: (661) 323-6223
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| H38172 | MEDICARE UPIN (02) | CA |
| 00A604181 | MEDICARE PIN (08) | CA |
| ZZZ06497Z | MEDICARE PIN (08) | CA |
Other Providers at the same location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700846946 | EDMUND FISHER M.D. Individual | Otolaryngology | 5301 TRUXTUN AVE SUITE 200 BAKERSFIELD, CA 93309 (661) 323-6200 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.