Individual provider Active NPI

Komal Desai, M.D.

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1144217506
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A71331 Issued in CA
Practice address
1600 E Belle Ter
Bakersfield, CA 93307-3871
Phone
(661) 201-4239
NPI assigned
Sep 30, 2005
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A71331 CA Primary

Addresses

Primary practice location

1600 E Belle Ter
Bakersfield, CA 93307-3871

Mailing address

2600 Beresford PL
Bakersfield, CA 93311-9272

Other identifiers 1

IdentifierTypeStateIssuer
A71331OtherCALICENSE

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
I20031217001021 CA Practitioner - Psychiatry 7012814957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 861-2251

3715 Columbus St
Bakersfield, CA 93306-2719
Phone (661) 868-6600

5121 Stockdale Hwy
Bakersfield, CA 93309-2656
Phone (661) 868-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71331CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Komal Desai MD Inc CurrentSince May 1, 2021 Accepting new patients
County of Kern Psychiatry CurrentSince Jul 3, 2019 Accepting new patients

Locations

1600 E Belle Ter
Bakersfield, CA 93307
Phone (661) 635-2950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1144217506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BERESFORD PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BELLE TER",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073871",
            "telephone_number": "661-201-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KOMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A71331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A71331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.