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NPI Code Detail

MEDICARE: CEP AMERICA - INTENSIVISTS PC

MEDICARE: CEP AMERICA - INTENSIVISTS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1295685535
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEP AMERICA - INTENSIVISTS PC
Provider Business Mailing Address
First Line : 1601 CUMMINS DR STE D
Second Line :
City : MODESTO
State : CA
Zip : 95358-6411
Country : US
Telephone Number : 510-851-7501
Fax Number :
Provider Business Practice Location Address
First Line : 2615 CHESTER AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2014
Country : US
Telephone Number : 661-395-3000
Fax Number :
Authorized Official
Title or Position : COO
Name : DAVID BIRDSALL
Credential :
Telephone Number : 510-851-7552
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “CEP AMERICA - INTENSIVISTS PC ” Practice Location

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