Shivinder S Deol M D Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37723 Issued in CA

Legal business name

SHIVINDER S DEOL M D INC

Practice address

4000 Stockdale Hwy
Ste D
Bakersfield, CA 93309-2059

Phone

(661) 325-7452

Fax

(661) 325-7456

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shivinder S Deol, M.D.NPI 1558447250

Title

President

Phone

(661) 325-7452

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Anti-Aging & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Heart Hospital of BK, LLC

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1609856947

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shivinder Singh Deol

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1558447250
  Medicare reassignment Care Compare group Authorized official
• Aida Abad Leshen

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1336920511
  Medicare reassignment Care Compare group NPD
• Amartej Singh Deol, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1407506025
  Medicare reassignment NPD
• Susan Louise Holley, PHD

  • Psychologist
  • Tehachapi, CA
  • NPI 1124056270
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1124328273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 STOCKDALE HWY STE D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092059",
            "telephone_number": "661-325-7452",
            "fax_number": "661-325-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 STOCKDALE HWY",
            "address_2": "STE D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092059",
            "telephone_number": "661-325-7452",
            "fax_number": "661-325-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "798 Tucker Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "935612503",
            "country_code": "US",
            "telephone_number": "661-822-5811",
            "fax_number": "661-822-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHIVINDER S DEOL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "SHIVINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-325-7452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "080004729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84411017",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anti-Aging & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Anne Shin
• Shyi-Tang Shiue, M.D.
• David Dean Shively, DDS
• Kyle Shively, O.D.
• Jazmyne Shiver
• Shivom Corporation
• Perri Shoemaker, MS
• Justis Hope Shook
• Garima Shrestha, DDS
• Shropshire Chiropractic, Inc.

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.