Provider Demographics
NPI:1720553902
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 1:2700 F ST STE 210
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1850
Mailing Address - Country:US
Mailing Address - Phone:616-312-2296
Mailing Address - Fax:661-742-1644
Practice Address - Street 1:2700 F ST STE 210
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1850
Practice Address - Country:US
Practice Address - Phone:661-631-2229
Practice Address - Fax:661-742-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATHP70684FOtherMEDICAL NO.
CAHL505ZMedicaid