# CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407956899
- **Authorized official:** MRS. VENESSA L GRIFFIN CPC (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (661) 327-8538

## Contact information

- **Practice address:** 3838 SAN DIMAS ST, SUITE A-100, BAKERSFIELD, CA 93301-2284
- **Practice address phone:** (661) 327-8538
- **Practice address fax:** (661) 327-5432
- **Mailing address:** 3838 SAN DIMAS ST, SUITE A-100, BAKERSFIELD, CA 93301-2284
- **Mailing address phone:** (661) 327-8538
- **Mailing address fax:** (661) 327-5432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 04/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0060120 | — | CA |
| 01 | — | ZZZ42099Z | BLUE SHIELD GROUP ID | — |