Active NPI
Mohammad Javad Naderi, M.D.
- Body Imaging Physician
- Bakersfield, CA
National Provider Identifier
1518179225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A30373
- Practice address
- 1700 Mount Vernon Ave
Bakersfield, CA 93306-4018 - Phone
- (661) 326-2534
- Fax
- (661) 326-2888
- NPI assigned
- May 4, 2007
- Last updated
- May 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | A30373 | CA | Primary |
Addresses
Primary practice location
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Mailing address
PO Box 35000
Bakersfield, CA 93385-5000
Phone (661) 326-2534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHL 114091 | Other | CA | RADIOLOGY X-RAY SUPERVISOR AND OPERATOR |
Other names 1
- Dr. Javad M Naderi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30373 | CA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kern Medical Centre | Past | Accepting new patients | |
| Kern County Hospital Authority | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- Long Term Care Hospital
- Bakersfield, CA
- NPI 1063745701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1518179225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933855000",
"telephone_number": "661-326-2534",
"fax_number": "661-326-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MOUNT VERNON AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064018",
"telephone_number": "661-326-2534",
"fax_number": "661-326-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADERI",
"first_name": "MOHAMMAD",
"middle_name": "JAVAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A30373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RADIOLOGY X-RAY SUPERVISOR AND OPERATOR",
"identifier": "RHL 114091",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAVAD",
"last_name": "NADERI",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}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 May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.