Provider Demographics
NPI:1992725634
Name:MURPHY, MONICA JEANNEMARIAN (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:JEANNEMARIAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
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 1287
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1287
Mailing Address - Country:US
Mailing Address - Phone:661-865-1950
Mailing Address - Fax:800-985-5309
Practice Address - Street 1:1150 E LERDO HWY
Practice Address - Street 2:C
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-9419
Practice Address - Country:US
Practice Address - Phone:661-630-5890
Practice Address - Fax:800-985-5309
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49186207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9334603696OtherDOT
CAFM5047344OtherDEA