Organization
PETER S. MCCAULEY, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S MCCAULEY MD (OWNER)
(661) 588-9999
Entity
Organization
Contact information
Practice address
3933 COFFEE RD, STE. A, BAKERSFIELD, CA 93308-5024
(661) 588-9999
(661) 588-9041
Mailing address
PO BOX 81447, BAKERSFIELD, CA 93380-1447
(661) 588-9999
(661) 588-9041
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G761440
CA
208M00000X
Hospitalist Physician
G76144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00372503
MEDICARE RAILROAD
CA
05
—
ZZZ04219Z
—
CA
Enumeration date
01/09/2007
Last updated
09/12/2013
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