Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | G50492 | CA |
N | 207PE0004X | Emergency Medical Services | G50492 | CA |
NPI | 1154388296 |
---|---|
Provider Name | James M Sverchek |
First Address | Bakersfield, CA 93314-3711 |
Second Address | Bakersfield, CA 93306-4018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 17/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G504920 | (05) | CA |
A51699 | (02) | CA |