1649584319 NPI number — SUMEET BHINDER MD INC

Table of content: (NPI 1649584319)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649584319 NPI number — SUMEET BHINDER MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUMEET BHINDER MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649584319
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6001 TRUXTUN AVE STE 160-180
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:
93309-0679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-588-4001
Provider Business Mailing Address Fax Number:
661-588-4082

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4208 ROSEDALE HWY
Provider Second Line Business Practice Location Address:
STE. 302-405
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93308-6170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-588-4001
Provider Business Practice Location Address Fax Number:
661-588-4082
Provider Enumeration Date:
08/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BHINDER
Authorized Official First Name:
SUMEET
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
661-588-4001

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  A97529 , 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: DR0563 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1441639 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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