Individual provider Active NPI

Isaac Bakst, MBBCH

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1215027537
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A40598 Issued in CA
Practice address
8929 University Center LN
207
San Diego, CA 92122-1006
Phone
(858) 552-8828
Fax
(858) 552-8858
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A40598 CA Primary

Addresses

Primary practice location

8929 University Center LN
207
San Diego, CA 92122-1006

Mailing address

8929 University Center LN
207
San Diego, CA 92122-1006
Phone (858) 552-8828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isaacbakst@bakst.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40598CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Interoperability endpoints

  • Direct secure messaging: ibakst80788@scrippshlth.medalliesdirect.net
  • Direct secure messaging: ibakst24715@sharphealthcare.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1215027537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-552-8828",
            "fax_number": "858-552-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-552-8828",
            "fax_number": "858-552-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKST",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MBBCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A40598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isaacbakst@bakst.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8929 University Center Ln",
            "address_2": "207",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921221006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.