NPIMap

Individual provider Active NPI

Allan Lagdamen Capote, M.D.

  • Vascular Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1124385158
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A123778 Issued in CA
Practice address
4901 Centennial Plaza Way
Bakersfield, CA 93312
Phone
(661) 387-8333
Fax
(661) 241-4052
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A123778 CA Primary

Addresses

Primary practice location

4901 Centennial Plaza Way
Bakersfield, CA 93312

Mailing address

10331 Paradiso Way
Bakersfield, CA 93306-7879
Phone (661) 301-0402

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008003135 CA Practitioner - Vascular Surgery 8224380944 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123778CAMDVascular Surgery Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince May 22, 2019 Accepting new patients
Hao D. Bui, M.D., Inc. Vascular Surgery CurrentSince Sep 1, 2018 Accepting new patients
Kern County Hospital Authority CurrentSince May 22, 2019 Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

4901 Centennial Plaza Way
Bakersfield, CA 93312
Phone (661) 241-4052

4825 Coffee Rd
Bakersfield, CA 93308
Phone (661) 387-8333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Hao D Bui MD Inc 5 clinicians

Practice addresses (Care Compare)

4825 Coffee Rd
Bakersfield, CA 93308-9435
Phone (661) 387-8333

Hospital & facility affiliations

  • Around the Clock Home Care Home health agency, Bakersfield, CA, CCN 557765
  • Reliable Healthcare LLC Home health agency, Bakersfield, CA, CCN 757275
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

Merit-based Incentive Payment System (MIPS)

Final score
15.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33
Leg revascularization (restoring blood flow)37
Removal of tissue12

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1124385158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 PARADISO WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067879",
            "telephone_number": "661-301-0402",
            "fax_number": "661-742-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CENTENNIAL PLAZA WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93312",
            "telephone_number": "661-387-8333",
            "fax_number": "661-241-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOTE",
        "first_name": "ALLAN",
        "middle_name": "LAGDAMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A123778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.