| Randolph Senining Corp | |
|
4901 Islands Dr Bakersfield CA 93312-1944 | |
| (661) 703-4809 | |
| Not Available |
| Full Name | Randolph Senining Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4901 Islands Dr, Bakersfield, California |
| Authorized Official Name and Position | Denise Pitts (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 6618437841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Senining Corp 4901 Islands Dr Bakersfield CA 93312-1944 Ph: () - | Randolph Senining Corp 4901 Islands Dr Bakersfield CA 93312-1944 Ph: (661) 703-4809 |
| NPI Number | 1891416558 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Medicare PECOS PAC ID | 5294103644 |
|---|---|
| Medicare Enrollment ID | O20221116002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891416558 | NPI | - | NPPES |
| A71636 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Randolph Senining |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841216405 PECOS PAC ID: 7618940099 Enrollment ID: I20040813001076 |
| Provider Name | Catherine C Senining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679735674 PECOS PAC ID: 5597152348 Enrollment ID: I20220425001971 |
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