MEDICARE: DR. ANTONIA C. CHALMERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A36209	CA

General Provider Information

NPI Number	:	1962490391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIA C. CHALMERS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 976
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93302-0976
Country	:	US
Telephone Number	:	760-221-4380
Fax Number	:	760-221-4380

Provider Business Practice Location Address
First Line	:	3838 SAN DIMAS ST STE A225
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-2284
Country	:	US
Telephone Number	:	661-324-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	02/25/2019

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