Individual provider Active NPI

Ned Devasia, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1255435376
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A26378 Issued in CA
Practice address
5801 Truxtun Ave
Bakersfield, CA 93309-0609
Phone
(661) 327-3747
Fax
(661) 616-3237
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A26378 CA Primary

Addresses

Primary practice location

5801 Truxtun Ave
Bakersfield, CA 93309-0609

Mailing address

5801 Truxtun Ave
Bakersfield, CA 93309-0609
Phone (661) 327-3747

Other identifiers 1

IdentifierTypeStateIssuer
00A26378MedicaidCA

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
I20100225000465 CA Practitioner - Internal Medicine 9931243169 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26378CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Valley Pulmonary Group Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
SJV Medical Group Current Accepting new patients

Locations

5801 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 327-3747

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1255435376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090609",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090609",
            "telephone_number": "661-327-3747",
            "fax_number": "661-616-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVASIA",
        "first_name": "NED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A26378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A26378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.