Individual provider Active NPI

Deepak Wahi, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1104941467
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A101142 Issued in CA
Practice address
10204 Hinderhill Dr
Bakersfield, CA 93312-7034
Phone
(661) 444-2171
Fax
(661) 588-0253
NPI assigned
Mar 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A101142 CA Primary

Addresses

Primary practice location

10204 Hinderhill Dr
Bakersfield, CA 93312-7034

Mailing address

10204 Hinderhill Dr
Bakersfield, CA 93312-7034
Phone (661) 444-2171

Other identifiers 1

IdentifierTypeStateIssuer
LL1563OtherNVMEDICAL LICENSE

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
I20081021000306 CA Practitioner - Internal Medicine 1951469998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Bakersfield, CA 93308-6372

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101142CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centric Health Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Centric Health Current Accepting new patients
Dignity Health Past Accepting new patients
Solace Healthcare, Inc. Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Solace Healthcare, Inc. Past Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104941467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 HINDERHILL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933127034",
            "telephone_number": "661-444-2171",
            "fax_number": "661-588-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 HINDERHILL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933127034",
            "telephone_number": "661-444-2171",
            "fax_number": "661-588-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHI",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LL1563",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.