| Polyclinic Medical Center, Inc. | |
|
2145 Niles St Bakersfield CA 93305-5007 | |
| (661) 327-5984 | |
| (661) 327-2541 |
| Full Name | Polyclinic Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2145 Niles St, Bakersfield, California |
| Authorized Official Name and Position | Kamrun P Naher (DIRECTOR) |
| Authorized Official Contact | 6613275984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Polyclinic Medical Center, Inc. 2145 Niles St Bakersfield CA 93305-5007 Ph: (661) 327-5984 | Polyclinic Medical Center, Inc. 2145 Niles St Bakersfield CA 93305-5007 Ph: (661) 327-5984 |
| NPI Number | 1750308656 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 8426098807 |
|---|---|
| Medicare Enrollment ID | O20050504001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750308656 | NPI | - | NPPES |
| CMM70507H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CMM70507H (California) | Primary |
| Provider Name | Elizabeth A Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568657302 PECOS PAC ID: 1355404773 Enrollment ID: I20090112000578 |
| Provider Name | Kamrun Naher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578723110 PECOS PAC ID: 3173689775 Enrollment ID: I20090306000018 |
| Provider Name | Antoinette Marie Placenti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720144405 PECOS PAC ID: 3971650938 Enrollment ID: I20090408000159 |
| Provider Name | Alexandra Cl Dzikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508582610 PECOS PAC ID: 8123486982 Enrollment ID: I20230627000300 |
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