Individual provider Active NPI

Emad Shafic, MD

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1033111471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A84684 Issued in CA
Practice address
10014 Rosedale Hwy
Bakersfield, CA 93312-2616
Phone
(661) 215-1600
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A84684 CA Primary

Addresses

Primary practice location

10014 Rosedale Hwy
Bakersfield, CA 93312-2616

Mailing address

10014 Rosedale Hwy
Bakersfield, CA 93312-2616
Phone (661) 215-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312002052 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4789667379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84684CAMDSocial Worker
A84684CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Bakersfield Family Medical Group Inc Pediatrics Past Accepting new patients
San Michael Pediatrics Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: emad.shafic@597.securemail.prognocis.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033111471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 ROSEDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122616",
            "telephone_number": "661-215-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 ROSEDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122616",
            "telephone_number": "661-215-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIC",
        "first_name": "EMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A84684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.