Healthcare Provider Details

I. General information

NPI: 1265506893
Provider Name (Legal Business Name): AUGUST ACCETTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 BRIMHALL RD STE 1
BAKERSFIELD CA
93312-2786
US

IV. Provider business mailing address

12010 INDIANAPOLIS DR
BAKERSFIELD CA
93312-8241
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-0818
  • Fax: 661-663-0516
Mailing address:
  • Phone: 714-722-7433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG61628
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberG61628
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG61628
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: