Individual provider Active NPI

Witchell Cabasag

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1427716802
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025565 Issued in CA
Practice address
3805 San Dimas St Ste B
Bakersfield, CA 93301-5725
Phone
(661) 326-9999
NPI assigned
Dec 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 95025565 CA Primary

Addresses

Primary practice location

3805 San Dimas St Ste B
Bakersfield, CA 93301-5725

Mailing address

9001 Stockdale Hwy
Bakersfield, CA 93311-1022

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025003548 CA Practitioner - Nurse Practitioner 0143676239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
California University of Science and Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hany S Aziz MD IncGroup PAC ID 9931268075, 8 clinicians

Practice addresses (Care Compare)

3805 San Dimas St
Suite B
Bakersfield, CA 93301-5725
Phone (661) 326-9999

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Merit-based Incentive Payment System (MIPS)

Final score
20.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025565CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Critical Care Medical Group, Inc CurrentSince Oct 1, 2024 Accepting new patients
Hany S. Aziz M.D., Inc CurrentSince Oct 1, 2023 Accepting new patients
Clinica Sierra Vista Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3805 San Dimas St
Ste B
Bakersfield, CA 93301
Phone (661) 326-9999

3805 San Dimas St
Bakersfield, CA 93301
Phone (661) 324-7300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wcabasag27694@clinicasierravista.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1427716802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SAN DIMAS ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015725",
            "telephone_number": "661-326-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABASAG",
        "first_name": "WITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.