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LAC MEDICAL, INC
NPI 1366992919
Family Medicine in Bakersfield, CA

Active since October 06, 2016CLIA 05D2145211 · Waiver
5300 LENNOX AVE STE 105, BAKERSFIELD, CA 93309(661) 735-1710 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lac Medical, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAC MEDICAL, INC (NPI 1366992919) is a healthcare organization registered as a family medicine in Bakersfield, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Vipul Raman Dev, Owner, as its authorized official.

NPPES Registry Identity

NPI1366992919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAC MEDICAL, INC
Location Address5300 LENNOX AVE STE 105Bakersfield, CA 93309-1662
Mailing Address2901 Sillect Ave Ste 201Bakersfield, CA 93308-6373 · (661) 327-2101
Phone(661) 735-1710
Organization SubpartNo
Authorized OfficialVipul Raman DevOwner · (661) 327-2101
Enumeration DateOctober 6, 2016
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1366992919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G52726
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5300 LENNOX AVE STE 105, Bakersfield, CA 93309
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2145211

Lac Medical Inc · Bakersfield, CA
Active · expires Mar 2, 2028
CLIA Number05D2145211
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDr. John Fosbinder
Laboratory Phone(661) 735-1710
Laboratory LocationLac Medical Inc500 Old River Road, Suite 155, Bakersfield, CA 93311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCIO ARGUETA NURSE PRACTITIONER
Nurse Practitioner (Family)
5300 LENNOX AVE STE 105
BAKERSFIELD, CA 93309
Kern County (661) 735-1710
DR. JOHN JOE FOSBINDER D.O.
General Practice
5300 LENNOX AVE STE 105
BAKERSFIELD, CA 93309
Kern County (661) 735-1710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lac Medical, Inc's NPI number?

The NPI number for Lac Medical, Inc is 1366992919. It was assigned to this organization in the NPPES registry on October 6, 2016.

Where is Lac Medical, Inc located?

Lac Medical, Inc is located at 5300 Lennox Ave Ste 105, Bakersfield, CA 93309. The listed phone number is (661) 735-1710.

What is Lac Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lac Medical, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2145211) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lac Medical, Inc was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.