NPIMap

Organization Active NPI

Wafik a Abdou MD Inc

  • Anesthesiology Physician
  • Bakersfield, CA
National Provider Identifier
1114065968
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G66371 Issued in CA
Legal business name
WAFIK A ABDOU MD INC
Practice address
4101 Empire Dr Ste 130
Bakersfield, CA 93309-0681
Phone
(661) 325-1900
Fax
(661) 325-1900
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Dr. Wafik A Abdou, M.D.NPI 1740267343
Title
President
Phone
(661) 843-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G66371 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X G66371 CA

Addresses

Primary practice location

4101 Empire Dr Ste 130
Bakersfield, CA 93309-0681

Mailing address

PO Box 2029
Bakersfield, CA 93303-2029
Phone (661) 843-7612

Other identifiers 1

IdentifierTypeStateIssuer
00G663710MedicaidCA

Other names 1

  • WAFIK ABDOU MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000550 CA Part B Supplier - Clinic/Group Practice 8426153537 Receives reassigned benefits from 11 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

2400 Bahamas Dr
Ste 100
Bakersfield, CA 93309
Phone (661) 328-2333

2620 Chester Ave
Ste 400
Bakersfield, CA 93301
Phone (661) 243-3334

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1114065968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032029",
            "telephone_number": "661-843-7612",
            "fax_number": "661-760-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EMPIRE DR STE 130",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090681",
            "telephone_number": "661-325-1900",
            "fax_number": "661-325-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAFIK A ABDOU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "ABDOU",
        "authorized_official_first_name": "WAFIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-843-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G66371",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G66371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G663710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAFIK ABDOU MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.