Provider Demographics
NPI:1447230412
Name:ALARCON, AUGUSTO CESAR (MD)
Entity Type:Individual
Prefix:MR
First Name:AUGUSTO
Middle Name:CESAR
Last Name:ALARCON
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:PO BOX 2287
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2287
Mailing Address - Country:US
Mailing Address - Phone:661-334-1958
Mailing Address - Fax:661-324-4095
Practice Address - Street 1:420 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2237
Practice Address - Country:US
Practice Address - Phone:661-327-1792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG82193207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G821930Medicaid
CA00G821931Medicare PIN
CAZZZ15999ZMedicare PIN
CAZZZ21367ZMedicare PIN
CA00G821930Medicare PIN
CAZZZ21366ZMedicare PIN
CA00G821930Medicaid
CA00G821935Medicare PIN
CACD4582Medicare PIN
CAZZZ15998ZMedicare PIN
CAZZZ21365ZMedicare PIN
CA00G821933Medicare PIN
CA00G821934Medicare PIN
CAP00480159Medicare PIN
CAZZZ34009ZMedicare PIN