NPIMap

Individual provider Active NPI

Mona Manohar Shete, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Bakersfield, CA
National Provider Identifier
1265736607
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
C188275 Issued in CA
Practice address
3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Phone
(661) 665-0505
Fax
(661) 665-7844
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49192 TN
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X C188275 CA Primary
Otolaryngology Physician 207Y00000X 22170 MS

Addresses

Primary practice location

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130415000477 TN Practitioner - Otolaryngology 1254577323
I20231026004071 CA Practitioner - Otolaryngology 1254577323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical Group 292 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 460
Oxnard, CA 93030-7629
Phone (805) 983-0395

Hospital & facility affiliations

  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49192TNMDOtolaryngology Physician
C188275CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Sep 5, 2023 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Bass Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 5, 2023 Accepting new patients
Bass Medical Group Otolaryngology CurrentSince Apr 1, 2026 Accepting new patients
Family Ear Nose & Throat Care of the Mid-South, PLLC Otolaryngology Past Accepting new patients

Locations

3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161

3838 San Dimas St
Ste B231
Bakersfield, CA 93301
Phone (661) 665-0505

1700 N Rose Ave
Ste 460
Oxnard, CA 93030
Phone (805) 983-0395

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1265736607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505",
            "fax_number": "661-665-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETE",
        "first_name": "MONA",
        "middle_name": "MANOHAR",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2023-10-13",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "49192",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "C188275",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "22170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.