1275581985 NPI number — DR. BELINDA SANTOS SENAR M.D,

Table of content: (NPI 1043311392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275581985 NPI number — DR. BELINDA SANTOS SENAR M.D,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SENAR
Provider First Name:
BELINDA
Provider Middle Name:
SANTOS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D,
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANTOS-SENAR
Provider Other First Name:
BELINDA
Provider Other Middle Name:
ADELA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1275581985
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10410 SALISBURY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93311-4939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-664-1603
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
655 S CENTRAL VALLEY HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHAFTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93263-2790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-746-1900
Provider Business Practice Location Address Fax Number:
661-746-9197
Provider Enumeration Date:
05/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A74438 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A744380 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".