Samuel J Hardy, MD | |
3838 San Dimas St, Suite B-100, Bakersfield, CA 93301-2284 | |
(661) 326-0088 | |
(661) 861-0214 |
Full Name | Samuel J Hardy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3838 San Dimas St, Bakersfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407951189 | NPI | - | NPPES |
10051751 | Other | CA | RAIL ROAD MEDICARE |
00G275320 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G27532 (California) | Primary |
Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
Mailing Address | Practice Location Address |
---|---|
Samuel J Hardy, MD 3838 San Dimas St, Suite B-100, Bakersfield, CA 93301-2284 Ph: (661) 326-0088 | Samuel J Hardy, MD 3838 San Dimas St, Suite B-100, Bakersfield, CA 93301-2284 Ph: (661) 326-0088 |
Dr. Shannon K. Grant, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Old River Rd, Bakersfield, CA 93311 Phone: 661-663-6275 Fax: 661-326-8022 | |
Dr. Michael Darin Niedens, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1830 Flower St, Bakersfield, CA 93305 Phone: 661-326-2667 | |
Rick Daniel Ornum Figurasin, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2615 Chester Ave, Bakersfield, CA 93301 Phone: 661-869-6227 | |
Albert Ko, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9900 Stockdale Hwy, Suite 105, Bakersfield, CA 93311 Phone: 661-410-9500 | |
Lev Libet, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Mount Vernon Ave, Trailer #2 Dept Of Emergency Medicine, Bakersfield, CA 93306 Phone: 661-326-2168 | |
Dr. Adria Elene Ottoboni, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Mount Vernon Ave, Bakersfield, CA 93306 Phone: 661-326-2000 Fax: 661-326-2165 | |
Dr. John Eric Fortenberry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Old River Rd, Bakersfield, CA 93311 Phone: 661-326-8021 Fax: 661-326-8022 |