Individual provider Active NPI

Adam Shafer, D.O.

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1427451384
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A16272 Issued in CA
Practice address
8329 Brimhall Road
Suite 804
Bakersfield, CA 93312
Phone
(661) 431-1555
Fax
(661) 471-2410
NPI assigned
Oct 6, 2014
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A16272 CA Primary

Addresses

Primary practice location

8329 Brimhall Road
Suite 804
Bakersfield, CA 93312

Mailing address

PO Box 10748
Bakersfield, CA 93389-0748
Phone (661) 431-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190117000841 CA Practitioner - Psychiatry 6204172984 Reassigns benefits to 1 organization
I20191130000101 NV Practitioner - Psychiatry 6204172984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 S Green Valley Pkwy
Suite 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Feb 3, 2020 Accepting new patients
Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC Psychiatry CurrentSince Nov 1, 2019 Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Feb 3, 2020 Accepting new patients
Kern Psychiatric Health and Wellness Center Inc Psychiatry CurrentSince Oct 1, 2018 Accepting new patients

Locations

8329 Brimhall Rd
Ste 804
Bakersfield, CA 93312
Phone (661) 431-1555

4150 Technology Way
Ste 100
Carson City, NV 89706

660 S Green Valley Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 240-8639

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

3016 W Charleston Blvd
Ste 150
Las Vegas, NV 89102
Phone (702) 371-7970

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

Organizations & group practices 5

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1427451384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10748",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890748",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL ROAD",
            "address_2": "SUITE 804",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93312",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A16272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.