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Deactivated NPI 1144554742 Deactivated / Inactive NPI Male Practitioner

Kent Bartkowski , RAS

Specialist • Pollock Pines, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kent Bartkowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2009
NPI Deactivation Date December 23, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Kent Bartkowski, RAS was a registered Specialist practicing in Pollock Pines, CA. Throughout an active medical career spanning 10 years, Kent Bartkowski provided care at the practice location at 6763 DIAMOND DR until profile deactivation on 2019-12-23.

Practice Location & Contact Primary Location

Practice Address

6763 Diamond Dr

Pollock Pines, CA 957269511

Telephone 5306441808

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pollock Pines, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Pollock Pines, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA RI-B0906291714

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 23, 2019

Record deactivated on December 23, 2019

NPI Profile Active September 29, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2009

Registered at 6763 DIAMOND DR, POLLOCK PINES, CA 957269511 (Tel: 5306441808)

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Updated Business Mailing Address September 29, 2009

Registered at 6763 DIAMOND DR, POLLOCK PINES, CA 957269511 (Tel: 5306441808)

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Provider Name / Credentials Updated September 29, 2009

Recorded as KENT BARTKOWSKI, RAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2009

Specialist (License #RI-B0906291714 in CA)

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Initial NPI Registration & Enumeration September 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144554742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2009
Last Update: September 29, 2009
Deactivation Date: December 23, 2019

Mailing Address

6763 Diamond Dr

Pollock Pines, CA 957269511

Phone: 5306441808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.