Provider Demographics
NPI:1407519556
Name:PEDIATRICS FOR ALL INC
Entity Type:Organization
Organization Name:PEDIATRICS FOR ALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIRANJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DASS
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:661-631-2229
Mailing Address - Street 1:4550 PANAMA LN STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-3486
Mailing Address - Country:US
Mailing Address - Phone:661-631-2229
Mailing Address - Fax:661-381-7079
Practice Address - Street 1:4550 PANAMA LN STE A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-3436
Practice Address - Country:US
Practice Address - Phone:818-943-0704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEDIATRICS FOR ALL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-15
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty