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NPI 1124521018ActiveOrganization· Internal Medicine, Interventional Cardiology· Bakersfield, CA
Internal Medicine, Interventional Cardiology in Bakersfield, California, registered in NPPES in March 2018. The authorized official on file is Ty Heckman, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124521018 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2018 |
| Last updated in NPPES | Jan 17, 2025 |
| Certified by provider | Jan 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | A63639 | CA |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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