NPIMap

Individual provider Active NPI

Pushpa Bisarya, MD

  • Emergency Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1245218924
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C128327 Issued in CA
Practice address
1507 Panama LN Ste G1001507
Bakersfield, CA 93307-5682
Phone
(866) 707-6664
Fax
(661) 746-9197
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036065771 IL
Emergency Medicine Physician 207P00000X C128327 CA Primary

Addresses

Primary practice location

1507 Panama LN Ste G1001507
Bakersfield, CA 93307-5682

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13549OKMDPharmacist
C128327CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Missouri Em-I Medical Services, P.C. Past Accepting new patients
Callaway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Saint Louis Connectcare Past Accepting new patients
Emergency Medical Solutions, LTD. Emergency Medicine Past Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Organizations & group practices 8

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1245218924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PANAMA LN STE G1001507",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933075682",
            "telephone_number": "866-707-6664",
            "fax_number": "661-746-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISARYA",
        "first_name": "PUSHPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036065771",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C128327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.