Healthcare Provider Details

I. General information

NPI: 1235321100
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 STOCKDALE HIGHWAY SUITE 100 & 103
BAKERSFIELD CA
93311
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001-4625
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-7536
  • Fax: 661-321-0690
Mailing address:
  • Phone: 800-232-3550
  • Fax: 972-387-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM TOM FOGARTY
Title or Position: PRESIDENT
Credential: MD
Phone: 800-232-3550