Grand Avenue Emergency Physicians Medical Group Inc
NPI 1962913632ActiveOrganization· Emergency Medicine· Bakersfield, CA
Emergency Medicine in Bakersfield, California, registered in NPPES in October 2017. The authorized official on file is Steven P. Maron, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962913632 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2017 |
| Last updated in NPPES | Jun 24, 2021 |
| Certified by provider | Jun 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
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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