Full Name | |
---|---|
Speciality | Clinic/center - Community Health |
Location | 2101 7th St, Wasco, California |
Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6616307050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4900 California Ave Ste 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | 2101 7th St Wasco CA 93280-1502 Ph: (661) 459-1900 |
NPI Number | 1194944223 |
---|---|
Provider Enumeration Date | 04/25/2007 |
Last Update Date | 07/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194944223 | NPI | - | NPPES |
FHC80030F | Medicaid | CA | |
BCP80030F | Other | CA | BCDP |
ZZZ95223Z | Other | CA | MEDICARE PART B |
HAP80030F | Other | CA | FAMILY PACT |
PHA322610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 050000254 (California) | Primary |
Valley Medical Group Of Kern County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1147 7th St, Wasco, CA 93280 Phone: 661-758-2449 | |
Vanguard Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 7th St, Wasco, CA 93280 Phone: 661-459-1001 | |