Provider Demographics
NPI:1619956976
Name:FOSBINDER, JOHN JOE (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOE
Last Name:FOSBINDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21851
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1851
Mailing Address - Country:US
Mailing Address - Phone:661-316-6000
Mailing Address - Fax:661-524-0448
Practice Address - Street 1:5300 LENNOX AVE STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1662
Practice Address - Country:US
Practice Address - Phone:661-735-1710
Practice Address - Fax:661-888-4841
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9214207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX92140OtherMEDI-CAL
CA020A92140Medicare ID - Type Unspecified
CA00AX92140OtherMEDI-CAL