Active NPI
Oluwatosin Segun Fawibe, MD
- Surgery Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A174644
- Practice address
- 3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494 - Phone
- (661) 665-0505
- Fax
- (661) 665-7844
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A174644 | CA | Primary |
Addresses
Primary practice location
3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 San Dimas St
Suite B231
Bakersfield, CA 93301-1494
Phone (661) 665-0505
Hospital & facility affiliations
- Mercy Hospital
- Bakersfield Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174644 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Locations
3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161
3838 San Dimas St
Ste B231
Bakersfield, CA 93301
Phone (661) 665-0505
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
707 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 822-2530
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1083971881
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Multi-Specialty Clinic/Center
- Belmont, CA
- NPI 1174531859
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1467538520
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692489600000",
"number": "1043715733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SAN DIMAS ST STE B231",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011494",
"telephone_number": "661-665-0505",
"fax_number": "661-665-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWIBE",
"first_name": "OLUWATOSIN",
"middle_name": "SEGUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A174644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.