Organization Active NPI

Darshan R Shah, MD, Inc, Dba Bakersfield Wellness Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1386794709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000711970 Issued in CA
Legal business name
DARSHAN R SHAH, MD, INC, DBA BAKERSFIELD WELLNESS SURGERY CENTER
Practice address
4850 Commerce Dr
Bakersfield, CA 93309-0415
Phone
(661) 324-6720
Fax
(661) 324-6140
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Faye Finlay Bergeron, RN
Title
Facility Administrator
Phone
(661) 324-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000711970 CA Primary

Addresses

Primary practice location

4850 Commerce Dr
Bakersfield, CA 93309-0415

Mailing address

4850 Commerce Dr
Bakersfield, CA 93309-0415
Phone (661) 324-6720

Other identifiers 1

IdentifierTypeStateIssuer
0000711970OtherCAAAAHC ACCREDITATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386794709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 COMMERCE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090415",
            "telephone_number": "661-324-6720",
            "fax_number": "661-324-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 COMMERCE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090415",
            "telephone_number": "661-324-6720",
            "fax_number": "661-324-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARSHAN R SHAH, MD, INC, DBA BAKERSFIELD WELLNESS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "FINLAY",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "661-324-6720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "0000711970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC ACCREDITATION",
            "identifier": "0000711970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.