Provider Demographics
NPI:1841368925
Name:GEORGE YAPLEE MEDICAL CENTER INC.
Entity type:Organization
Organization Name:GEORGE YAPLEE MEDICAL CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:661-631-2020
Mailing Address - Street 1:9700 BRIMHALL RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2777
Mailing Address - Country:US
Mailing Address - Phone:661-631-2020
Mailing Address - Fax:661-829-8657
Practice Address - Street 1:9700 BRIMHALL RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2777
Practice Address - Country:US
Practice Address - Phone:661-631-2020
Practice Address - Fax:661-829-8657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152W00000X, 332H00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26227ZOtherBCBS
CAGR0047902Medicaid
CAZZZ26229ZOtherBCBS
CAZZZ26225ZOtherBCBS
CAGR0047900Medicaid
CAZZZ01047ZOtherBCBS
CAZZZ26227ZOtherBCBS
CAZZZ26229ZOtherBCBS
CAZZZ26227ZOtherBCBS
CA6201720001Medicare NSC