Basic Information
Provider Information
NPI: 1285145409
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ
FirstName: JULIUS
MiddleName: BATAC
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 PHYSICIANS BLVD
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933011277
CountryCode: US
TelephoneNumber: 6613241455
FaxNumber: 6613243720
Practice Location
Address1: 2000 PHYSICIANS BLVD
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933011277
CountryCode: US
TelephoneNumber: 6613241455
FaxNumber: 6613243720
Other Information
ProviderEnumerationDate: 10/15/2017
LastUpdateDate: 10/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95007358CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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