| Stockdale Podiatry Group Inc | |
|
110 New Stine Rd, Bakersfield, CA 93309-2605 | |
| (661) 832-1666 | |
| (661) 832-2039 |
| Full Name | Stockdale Podiatry Group Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 110 New Stine Rd, Bakersfield, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013013002 | NPI | - | NPPES |
| E4648 | Other | CA | LIC # HAWKINS |
| A76044 | Other | CA | LIC-MIHALUTA |
| E3008 | Other | CA | LIC-DR.HAMILTON |
| E3891 | Other | CA | LIC-DR.PASABOC |
| E3301 | Other | CA | LIC-DR.MILLER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (California) | Primary |
| Provider Name | Mihaela Mihaluta-pasaboc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386632834 PECOS PAC ID: 4082676648 Enrollment ID: I20041027000610 |
| Provider Name | Brandon James Hawkins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073587663 PECOS PAC ID: 8729093794 Enrollment ID: I20060213000208 |
| Provider Name | Liviu G Pasaboc |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659363554 PECOS PAC ID: 0840360343 Enrollment ID: I20080609000915 |
| Provider Name | Thomas D Nelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629093653 PECOS PAC ID: 8022168806 Enrollment ID: I20090617000199 |
| Provider Name | Arsenio M Cachero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225483514 PECOS PAC ID: 5496046674 Enrollment ID: I20160617001441 |
| Provider Name | Michael Clifton Mcginnis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801841358 PECOS PAC ID: 1153384169 Enrollment ID: I20161107000380 |
| Provider Name | Cathy Taijung Chuang Sohrabi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649628116 PECOS PAC ID: 4789919234 Enrollment ID: I20190705001193 |
| Provider Name | Michael Angel Flores |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649839655 PECOS PAC ID: 7810221058 Enrollment ID: I20220613001836 |
| Provider Name | Tzu Lu Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710502414 PECOS PAC ID: 0446618060 Enrollment ID: I20230614000731 |
| Provider Name | Paul Myung Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700406311 PECOS PAC ID: 6305204546 Enrollment ID: I20230621001772 |
| Provider Name | Solomon Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346865409 PECOS PAC ID: 7517389711 Enrollment ID: I20230720002396 |
| Provider Name | Timothy Lam Vo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861060352 PECOS PAC ID: 7214473867 Enrollment ID: I20240719001307 |
| Provider Name | Alexis Nicole Conley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831767276 PECOS PAC ID: 2264978766 Enrollment ID: I20240719003573 |
| Mailing Address | Practice Location Address |
|---|---|
| Stockdale Podiatry Group Inc 110 New Stine Rd, Bakersfield, CA 93309-2605 Ph: (661) 832-1666 | Stockdale Podiatry Group Inc 110 New Stine Rd, Bakersfield, CA 93309-2605 Ph: (661) 832-1666 |
Thomas D Nelson Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1701 27th St, Bakersfield, CA 93301 Phone: 661-322-2895 Fax: 661-322-2897 | |
Dr. James Francis Brown, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 110 New Stine Rd, Bakersfield, CA 93309 Phone: 661-832-1667 Fax: 661-832-7145 | |
Dr. Brandon James Hawkins, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 110 New Stine Rd, Bakersfield, CA 93309 Phone: 661-832-1667 Fax: 661-832-7145 | |
Dr. Allan Evangelista, D.P.M., M.P.H. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 110 New Stine Rd, Bakersfield, CA 93309 Phone: 661-832-1667 Fax: 661-832-7145 | |
Ali Ghorbanifarajzadeh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 Old River Rd Ste 185, Bakersfield, CA 93311 Phone: 661-832-3600 Fax: 661-322-6249 | |
Carlos J. Rodriguez, DPM, MS, PA Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5020 Commerce Dr, Bakersfield, CA 93309 Phone: 661-324-4100 Fax: 661-324-4600 |