NPIMap

Individual provider Active NPI

Mukesh Patel, P.A.

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1306819552
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17358 Issued in CA
Practice address
3900 Coffee Rd Ste 3
Bakersfield, CA 93308-5050
Phone
(661) 587-0700
NPI assigned
Feb 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17358 CA Primary
Surgical Physician Assistant 363AS0400X PA17358 CA
Medical Physician Assistant 363AM0700X PA17358 CA

Addresses

Primary practice location

3900 Coffee Rd Ste 3
Bakersfield, CA 93308-5050

Mailing address

3900 Coffee Rd Ste 3
Bakersfield, CA 93308
Phone (661) 587-0700

Other practice location 1

702 Workman St
Bakersfield, CA 93307-6800
Phone (661) 331-7540

Other practice location 2

14643 Greatest Pl
Bakersfield, CA 93314-7231
Phone (661) 903-2448

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
I20040528001151 CA Practitioner - Physician Assistant 4082695549 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Active Life Medical and WellnessGroup PAC ID 7810339934, 2 clinicians
Ronald J. Ostrom, P.C. CorporationGroup PAC ID 6002206281, 7 clinicians

Practice addresses (Care Compare)

3015 Calloway Dr
Suite D6
Bakersfield, CA 93312-2657
Phone (661) 834-1544

3900 Coffee Rd
Suite 3
Bakersfield, CA 93308-5050
Phone (661) 587-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17358CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Emergency Medicine Physicians Past Accepting new patients
Universal Healthcare Services, Inc. PastSince Sep 3, 2025 Accepting new patients
Comfort Care Medical Group PA Medical Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306819552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 COFFEE RD STE 3",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93308",
            "telephone_number": "661-587-0700",
            "fax_number": "661-587-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 COFFEE RD STE 3",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085050",
            "telephone_number": "661-587-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Workman St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933076800",
            "country_code": "US",
            "telephone_number": "661-331-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14643 Greatest Pl",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933147231",
            "country_code": "US",
            "telephone_number": "661-903-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17358",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17358",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.