Individual provider Active NPI

Imad Abumeri, M.D.

  • Neurological Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1295732980
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C53377 Issued in CA
Practice address
2001 F St
Bakersfield, CA 93301-4237
Phone
(661) 404-4731
Fax
(661) 404-4732
NPI assigned
Jul 7, 2005
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35075732 OH
Neurological Surgery Physician 207T00000X C53377 CA Primary

Addresses

Primary practice location

2001 F St
Bakersfield, CA 93301-4237

Mailing address

PO Box 22134
Bakersfield, CA 93390-2134
Phone (661) 404-4731

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
I20131125001487 CA Practitioner - Neurosurgery 3476599507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Valley NeuroscienceGroup PAC ID 0345205944, 6 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 301
Lancaster, CA 93534-6093
Phone (661) 945-6931

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53377CAMDNeurological Surgery Physician
35075732OHMDNeurological Surgery Physician
4036TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Neuroscience Neurological Surgery CurrentSince Jun 20, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

42135 10th St W
Ste 301
Lancaster, CA 93534
Phone (661) 945-6931

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 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1295732980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22134",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902134",
            "telephone_number": "661-404-4731",
            "fax_number": "661-404-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 F ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014237",
            "telephone_number": "661-404-4731",
            "fax_number": "661-404-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUMERI",
        "first_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35075732",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C53377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.