Active NPI
Shiquan Xiong, M.D
- Psychiatry Physician
- Bakersfield, CA
National Provider Identifier
1447480090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A102651
- Practice address
- 10201 Hinderhill Dr
Bakersfield, CA 93312-7034 - Phone
- (661) 331-1971
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A102651 | CA | |
| Psychiatry Physician | 2084P0800X | A102651 | CA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | A102651 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A102651 | CA |
Addresses
Primary practice location
10201 Hinderhill Dr
Bakersfield, CA 93312-7034
Mailing address
10201 Hinderhill Dr
Bakersfield, CA 93312-7034
Phone (661) 331-1971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A102651 | Other | CA | PHYSICIAN LIC NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone (916) 651-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102651 | CA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Zenzhong Medical Inc. | Past | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Assisted Living Facility (Mental Illness)
- Bakersfield, CA
- NPI 1346682838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1447480090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 HINDERHILL DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933127034",
"telephone_number": "661-331-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 HINDERHILL DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933127034",
"telephone_number": "661-331-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "SHIQUAN",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A102651",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A102651",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CA",
"license": "A102651",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A102651",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LIC NUMBER",
"identifier": "A102651",
"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 Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.