Healthcare Provider Details

I. General information

NPI: 1154388296
Provider Name (Legal Business Name): JAMES M SVERCHEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MOUNT VERNON AVE
BAKERSFIELD CA
93306-4018
US

IV. Provider business mailing address

12907 SAN JUAN AVE
BAKERSFIELD CA
93314-3711
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2161
  • Fax:
Mailing address:
  • Phone: 661-589-8007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberG50492
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG50492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: