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General NPI Number Information
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NPI Number | 1649381807
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Entity Type | Organization
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Legal Business Name | CENTRAL CALIFORNIA HOSPITALISTS
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/20/2018
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Provider Practice Location Address
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Address Line | 1401 GARCES HWY
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City | DELANO
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State | CA
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Zip | 93215
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Country | US
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Telephone | 661-332-3355
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Fax | 661-859-1209
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Provider Business Mailing Address
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Address Line | PO BOX 12798
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City | BAKERSFIELD
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State | CA
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Zip | 93389-2798
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Country | US
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Telephone | 661-332-3355
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Fax | 661-332-3355
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Authorized Official
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Title or Position | OWNER
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Name | SHAKTI SRIVASTAVA
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Credential | MD
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Telephone | 661-332-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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