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MAVERICK MEDICAL CLINIC
NPI 1699584300
Family Medicine in Bakersfield, CA

Active since January 06, 2025CLIA 05D2333015 · Waiver
2317 17TH ST, BAKERSFIELD, CA 93301(661) 213-9179 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1699584300
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAVERICK MEDICAL CLINIC
Location Address2317 17TH STBakersfield, CA 93301-3503
Mailing Address2317 17th StBakersfield, CA 93301-3503 · (661) 213-9179
Phone(661) 213-9179
Organization SubpartNo
Authorized OfficialTerrance McgillPresident · (661) 213-9179
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1699584300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2317 17TH ST, Bakersfield, CA 93301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2333015

Maverick Medical Clinic · Bakersfield, CA
Active · expires Oct 27, 2027
CLIA Number05D2333015
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorTerrance A. Mcgill
Laboratory Phone(661) 348-4421
Laboratory LocationMaverick Medical Clinic2317 17th Street, Bakersfield, CA 93301
CLIA data matches this NPI record on: Address Name
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.

TERRANCE MCGILL MD
Family Medicine
2317 17TH ST
BAKERSFIELD, CA 93301
Kern County (661) 213-9179
KAIKEI CHO MD
Internal Medicine
2317 17TH ST
BAKERSFIELD, CA 93301
Kern County (661) 326-6616

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 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.

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 19 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.