NPIMap

Individual provider Active NPI

Tariq Mubin, M.D.

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1275580367
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C52644 Issued in CA
Practice address
5030 Office Park Dr
Bakersfield, CA 93309-0612
Phone
(661) 323-2847
Fax
(661) 323-2261
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C52644 CA Primary

Addresses

Primary practice location

5030 Office Park Dr
Bakersfield, CA 93309-0612

Mailing address

5030 Office Park Dr
Bakersfield, CA 93309-0612
Phone (661) 323-2847

Other identifiers 1

IdentifierTypeStateIssuer
47071903801MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000373 CA Practitioner - NephrologyPractitioner - Internal Medicine 2466342910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern Nephrology Medical GroupGroup PAC ID 9335179092, 6 clinicians

Practice addresses (Care Compare)

2535 16TH St
Bakersfield, CA 93301-3417
Phone (661) 324-4721

5030 Office Park Dr
Suite a
Bakersfield, CA 93309-0612
Phone (661) 323-2847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.98 of 100Reported as group
Quality
85.94
Improvement activities
40
Cost
78.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21876NEMDLicensed Practical Nurse
C52644CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Nephrology Medical Group Nephrology CurrentSince Oct 1, 2009 Accepting new patients
Dignity Health Past Accepting new patients
Valley Medical Group of Kern County, Inc. Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Delano Kidney Center LLC Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

5030 Office Park Dr
Bakersfield, CA 93309
Phone (661) 323-2847

2535 16th St
Bakersfield, CA 93301
Phone (661) 308-8777

5030 Office Park Dr
#A
Bakersfield, CA 93309
Phone (661) 323-2847

1980 Cecil Ave
Delano, CA 93215
Phone (661) 324-4721

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEIBD/Endpoint/BIEIBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1275580367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBIN",
        "first_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C52644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071903801",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.