GLEN MICHAEL ENRIQUEZ CAPULONG MD
NPI 1407173388
Family Medicine in Bakersfield, CA

Q: What is Glen Michael Capulong's NPI number?

The NPI number for Glen Michael Capulong is 1407173388. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Q: What is Glen Michael Capulong's specialty?

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

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment

8800 MING AVE, BAKERSFIELD, CA 93311(661) 664-6795(661) 664-3727 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glen Michael Enriquez Capulong Md NPPES

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

GLEN MICHAEL ENRIQUEZ CAPULONG MD (NPI 1407173388) is an individual family medicine provider in Bakersfield, California, licensed in California (A125650) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1407173388

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGLEN MICHAEL ENRIQUEZ CAPULONGCredential: MD

Location Address8800 MING AVEBakersfield, CA 93311-1308

Mailing Address8800 Ming AveBakersfield, CA 93311-1308 · (661) 664-6795 · Fax (661) 664-3727

Phone(661) 664-6795

Fax(661) 664-3727

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateApril 30, 2010

Last NPPES UpdateDecember 8, 2021

✔ NPI 1407173388 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 · A125650

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.

8800 MING AVE, Bakersfield, CA 93311

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glen Michael Enriquez Capulong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072752476

PECOS Enrollment IDI20130614000615

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

DR. GURINDER P CHATHA M.D.

Family Medicine