Active NPI
Rizwana Shaheen, MD
- Psychiatry Physician
- Bakersfield, CA
National Provider Identifier
1174584098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C52615
- Practice address
- 5106 Boulder Creek PL
Bakersfield, CA 93312-3993 - Phone
- (740) 645-5918
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C52615 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C52615 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35081620 | OH | |
| Psychiatry Physician | 2084P0800X | 35 081620 | OH |
Addresses
Primary practice location
5106 Boulder Creek PL
Bakersfield, CA 93312-3993
Mailing address
5106 Boulder Creek PL
Bakersfield, CA 93312-3993
Phone (740) 645-5918
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2460671 | Other | OH | MEDICARE SH4127241 |
| 2460671 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52615 | CA | MD | Psychiatry Physician |
| 35 081620 | OH | MD | Psychiatry Physician |
| 35081620 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kern | Psychiatry | Current | Accepting new patients |
| County of Kern | Psychiatry | Current | Accepting new patients |
| Omni Family Health | Past | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients | |
| Psychiatric Medical Practitioners, Inc. | Psychiatry | Past | Accepting new patients |
Locations
2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- Federally Qualified Health Center (FQHC)
- Tehachapi, CA
- NPI 1851325021
-
- Psychiatry Physician
- Bakersfield, CA
- NPI 1740551563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1174584098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5106 BOULDER CREEK PL",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933123993",
"telephone_number": "740-645-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5106 BOULDER CREEK PL",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933123993",
"telephone_number": "740-645-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEEN",
"first_name": "RIZWANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C52615",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C52615",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35081620",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35 081620",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SH4127241",
"identifier": "2460671",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2460671",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.