MAVERICK MEDICAL CLINIC
NPI 1699584300
Family Medicine in Bakersfield, CA
About Maverick Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAVERICK MEDICAL CLINIC (NPI 1699584300) is a healthcare organization registered as a family medicine in Bakersfield, California and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Terrance Mcgill, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maverick Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maverick Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2333015
Maverick Medical Clinic · Bakersfield, CAFrequently 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 Maverick Medical Clinic's NPI number?
The NPI number for Maverick Medical Clinic is 1699584300. It was assigned to this organization in the NPPES registry on January 6, 2025.
Where is Maverick Medical Clinic located?
Maverick Medical Clinic is located at 2317 17th St, Bakersfield, CA 93301. The listed phone number is (661) 213-9179.
What is Maverick Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Maverick Medical Clinic enrolled in Medicare?
Yes. Maverick Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maverick Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Maverick Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maverick Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2333015) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Maverick Medical Clinic was last updated on January 6, 2025. 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.
# Maverick Medical Clinic · NPI 1699584300
Family Medicine organization in Bakersfield, California. Organization record, active in the CMS NPPES registry since January 6, 2025.
## Identity
- **NPI:** 1699584300 (Entity type: Organization)
- **Enumerated:** January 6, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Terrance Mcgill, PRESIDENT
## Practice location
- **Address:** 2317 17TH ST, Bakersfield, CA 93301-3503
- **Phone:** (661) 213-9179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699584300) · Data from the CMS NPPES public registry.