Healthcare Provider Details

I. General information

NPI: 1861698102
Provider Name (Legal Business Name): SENDAS NORTHWEST URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 MING AVENUE
BAKERSFIELD CA
93311
US

IV. Provider business mailing address

9450 MING AVENUE
BAKERSFIELD CA
93311-1388
US

V. Phone/Fax

Practice location:
  • Phone: 661-587-2500
  • Fax: 661-847-9939
Mailing address:
  • Phone: 661-587-2500
  • Fax: 661-847-9939

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 Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. LINH K NGO
Title or Position: CEO
Credential: MD
Phone: 661-587-2500