Active NPI
Suresh M Advani, MD, MPH
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1083714828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A47730
- Practice address
- 300 17TH St
Bakersfield, CA 93301-4916 - Phone
- (661) 869-1982
- Fax
- (661) 243-8710
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A47730 | CA | Primary |
Addresses
Primary practice location
300 17TH St
Bakersfield, CA 93301-4916
Mailing address
300 17TH St
Bakersfield, CA 93301-4916
Phone (661) 869-1982
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150105000832 | CA | Order and Referring Only - General Practice | 4183947856 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47730 | CA | MD | Marriage & Family Therapist |
| A47730 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- pearlsofhope00@pearlsofhopemedicalclinic.amazing-direct.com
- sadvani@pearlsofhopemedicalclinic.amazing-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1083714828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 17TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014916",
"telephone_number": "661-869-1982",
"fax_number": "661-243-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 17TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014916",
"telephone_number": "661-869-1982",
"fax_number": "661-243-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADVANI",
"first_name": "SURESH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A47730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
- Advanced Surgical Services Inc
- Advanced Urgent Care of California, Inc
- Advanced Womens Health Center, a Medical Corporation
- Advanced Wound and Surgical Management
- Madhu Advani, MD
- Advanz Medical Supply and Equipment Inc
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.