Provider Demographics
NPI:1265506893
Name:ACCETTA, AUGUST (MD)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:
Last Name:ACCETTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12010 INDIANAPOLIS DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-8241
Mailing Address - Country:US
Mailing Address - Phone:714-722-7433
Mailing Address - Fax:
Practice Address - Street 1:9730 BRIMHALL RD STE 1
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2786
Practice Address - Country:US
Practice Address - Phone:661-663-0818
Practice Address - Fax:661-663-0516
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61628207V00000X, 208800000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208800000XAllopathic & Osteopathic PhysiciansUrology