Individual provider Active NPI

Niranjan Dass, M.D.

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1255650776
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A125555 Issued in CA
Practice address
2700 F St Ste 210
Bakersfield, CA 93301-1850
Phone
(661) 631-2229
Fax
(617) 421-6446
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A125555 CA Primary

Addresses

Primary practice location

2700 F St Ste 210
Bakersfield, CA 93301-1850

Mailing address

2700 F St Ste 210
Bakersfield, CA 93301-1850
Phone (661) 631-2229

Other identifiers 1

IdentifierTypeStateIssuer
A125555OtherCAMEDICAL LICENSE

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
I20130816000453 CA Practitioner - Pediatric Medicine 4183866395 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Feb 1, 2016 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Feb 1, 2016 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Pediatrics for All Inc Pediatrics CurrentSince Jul 19, 2019 Accepting new patients

Locations

2700 F St
Ste 210
Bakersfield, CA 93301
Phone (661) 631-2229

4550 Panama Ln
Ste 100
Bakersfield, CA 93313
Phone (661) 631-2229

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

430 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24245/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1255650776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 F ST STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011850",
            "telephone_number": "661-631-2229",
            "fax_number": "617-421-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 F ST STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011850",
            "telephone_number": "661-631-2229",
            "fax_number": "617-421-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASS",
        "first_name": "NIRANJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A125555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A125555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.