Individual provider Active NPI

Shachi Srivastava, M.D.

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1184731440
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71087 Issued in CA
Practice address
9610 Stockdale Hwy
Suite C
Bakersfield, CA 93311
Phone
(661) 664-0212
Fax
(661) 664-0270
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 A71087 CA Primary

Addresses

Primary practice location

9610 Stockdale Hwy
Suite C
Bakersfield, CA 93311

Mailing address

PO Box 6518
Bakersfield, CA 93386-6518
Phone (661) 664-0212

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
I20120213000372 CA Practitioner - Family Practice 7214194620 Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians

Practice addresses (Care Compare)

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

9610 Stockdale Hwy
Unit C
Bakersfield, CA 93311-3626
Phone (661) 664-0212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71087CAMDPharmacist
A71087CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc Family Medicine Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1184731440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6518",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933866518",
            "telephone_number": "661-664-0212",
            "fax_number": "661-664-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 STOCKDALE HWY",
            "address_2": "SUITE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-664-0212",
            "fax_number": "661-664-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SHACHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.