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CENTENNIAL MEDICAL GROUP INC.
NPI 1841370368
Specialist in Bakersfield, CA

Active since October 17, 2006CLIA 05D2294564 · Waiver
1801 16TH ST # A, BAKERSFIELD, CA 93301(660) 326-8989(661) 326-8991 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centennial Medical Group Inc. NPPES

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

CENTENNIAL MEDICAL GROUP INC. (NPI 1841370368) is a healthcare organization registered as a specialist in Bakersfield, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Sonia Banda, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841370368
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTENNIAL MEDICAL GROUP INC.
Location Address1801 16TH ST # ABakersfield, CA 93301-5002
Mailing Address1801 16th St # ABakersfield, CA 93301-5002 · (660) 326-8989 · Fax (661) 326-8991
Phone(660) 326-8989
Fax(661) 326-8991
Organization SubpartNo
Authorized OfficialSonia BandaOffice Manager · (661) 326-8989
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 12, 2014
✔ NPI 1841370368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1801 16TH ST # A, Bakersfield, CA 93301
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centennial Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Centennial Medical Group Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Internal Medicine2
Nurse Practitioner2
Cardiovascular Disease (Cardiology)1
Dermatology1
Family Practice1
Plastic and Reconstructive Surgery1
Podiatry1
Pulmonary Disease1

Clinicians, nearest first (10)

Ann Michelle Magugat, NP-C
Nurse Practitioner
NPI 1366828840
1801 16TH ST STE A
Bakersfield, CA 93301
(661) 326-8989
✔ PECOSSame address
Janine Bourelle, NPF
Nurse Practitioner
NPI 1619173291
1801 16TH ST
Bakersfield, CA 93301
(661) 326-8989
✔ PECOS✔ Accepts MedicareSame address
Larry Yokoyama, MD
Family Practice
NPI 1295837375
1801 16TH ST #A
Bakersfield, CA 93301
(661) 326-8989
✔ PECOS✔ Accepts MedicareSame address
Nelson Madrilejo, MD
Internal Medicine
NPI 1023110103
1801 16TH ST #A
Bakersfield, CA 93301
(661) 326-8989
✔ PECOS✔ Accepts MedicareSame address
Shyam Nair, M.D.
Cardiovascular Disease (Cardiology)
NPI 1356304539
2007 17TH ST
Bakersfield, CA 93301
(661) 633-1983
✔ PECOS✔ Accepts Medicare0.2 mi
Byron Mui, MD
Internal Medicine
NPI 1891972121
2222 19TH STREET
Bakersfield, CA 93301
(661) 328-0800
✔ PECOS✔ Accepts Medicare0.4 mi
Thomas Nelson, DPM
Podiatry
NPI 1629093653
1701 27TH ST
Bakersfield, CA 93301
(661) 322-2895
✔ PECOS✔ Accepts Medicare0.8 mi
Jayaraman Chandrasekhar, MD
Pulmonary Disease
NPI 1134233851
6001 TRUXTUN AVE SUITE 120A
Bakersfield, CA 93309
(661) 327-1352
✔ PECOS✔ Accepts Medicare2.9 mi
Hootan Daneshmand, MD
Plastic and Reconstructive Surgery
NPI 1619987617
27462 PORTOLA PARKWAY SUITE 100
Foothill Ranch, CA 92610
(949) 727-9099
✔ PECOS✔ Accepts Medicare141 mi
David Drimmer, MD
Dermatology
NPI 1801206180
7203 129TH AVE SE STE 200
Newcastle, WA 98056
(425) 690-3439
✔ PECOS✔ Accepts Medicare855 mi

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 05D2294564

Centennial Medical Group, Inc. · Bakersfield, CA
Active · expires Nov 27, 2027
CLIA Number05D2294564
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorNelson Madrilejo
Laboratory Phone(661) 326-8989
Laboratory LocationCentennial Medical Group, Inc.1801 16th St Suite A, Bakersfield, CA 93301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Centennial Medical Group Inc.'s NPI number?

The NPI number for Centennial Medical Group Inc. is 1841370368. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Centennial Medical Group Inc. located?

Centennial Medical Group Inc. is located at 1801 16th St # A, Bakersfield, CA 93301. The listed phone number is (660) 326-8989.

What is Centennial Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Centennial Medical Group Inc. enrolled in Medicare?

Yes. Centennial Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centennial Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians reassign their Medicare billing to Centennial Medical Group Inc., in Cardiovascular Disease (Cardiology), Dermatology, Family Practice, Internal Medicine, Nurse Practitioner and 3 other specialties. 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. Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centennial Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2294564) is associated with this NPI, valid through November 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 Centennial Medical Group Inc. was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.