Individual provider Active NPI

Sunday Osaigbovo Irene, M.D

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1154541019
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98496 Issued in CA
Practice address
815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone
(661) 322-3905
Fax
(661) 322-1370
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98496 CA Primary

Addresses

Primary practice location

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365

Mailing address

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone (661) 322-3905

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
I20070921000751 CA Practitioner - Family Practice 4385738236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

1611 1St St
Bakersfield, CA 93304-2901
Phone (661) 336-5300

2000 Physicians Blvd
Bakersfield, CA 93301-1277
Phone (661) 324-1455

2400 Wible Rd
Suite 14
Bakersfield, CA 93304-4734
Phone (661) 835-1240

301 Brundage LN
Bakersfield, CA 93304-3248
Phone (661) 323-6086

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone (661) 322-3905

9001 S H St
Bakersfield, CA 93307-5948
Phone (661) 328-4260

Hospital & facility affiliations

  • Purpose Driven Home Health, LLC Home health agency, Bakersfield, CA, CCN 059545
  • Adventist Health Home Care Services Home health agency, Bakersfield, CA, CCN 557094
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98496CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jul 23, 2007 Accepting new patients
Clinica Sierra Vista Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

9001 S H St
Bakersfield, CA 93307
Phone (661) 328-4260

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

815 Martin Luther King Jr Blvd
Bakersfield, CA 93307
Phone (661) 322-3905

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

1611 1st St
Bakersfield, CA 93304
Phone (661) 336-5300

6310 Lake Isabella Blvd
Lake Isabella, CA 93240
Phone (760) 379-2415

217 W Kern Ave
Mc Farland, CA 93250
Phone (661) 792-3038

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sirene19129@clinicasierravista.direct-ci.com

Organizations & group practices 4

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 8

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1154541019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071365",
            "telephone_number": "661-322-3905",
            "fax_number": "661-322-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071365",
            "telephone_number": "661-322-3905",
            "fax_number": "661-322-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRENE",
        "first_name": "SUNDAY",
        "middle_name": "OSAIGBOVO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.