| Infectious Disease Tele-medical of California PC | |
|
4900 California Avenue Tower B, 2nd Floor Bakersfield CA 93309 | |
| (833) 271-2408 | |
| Not Available |
| Full Name | Infectious Disease Tele-medical of California PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4900 California Avenue, Bakersfield, California |
| Authorized Official Name and Position | Liyuen G. Wills (DIRECTOR, CREDENTIALING SERVICES) |
| Authorized Official Contact | 7243836195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Tele-medical of California PC 5800 Corporate Dr Ste 300 Pittsburgh PA 15237-7098 Ph: (833) 271-2408 | Infectious Disease Tele-medical of California PC 4900 California Avenue Tower B, 2nd Floor Bakersfield CA 93309 Ph: (833) 271-2408 |
| NPI Number | 1942097464 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Medicare PECOS PAC ID | 3779082128 |
|---|---|
| Medicare Enrollment ID | O20250814001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942097464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Nupur Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417375940 PECOS PAC ID: 8729379938 Enrollment ID: I20250313000195 |
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