Individual provider Active NPI

Ivaylo A Vagliarsky, M.D.

  • Gastroenterology Physician
  • Bakersfield, CA
National Provider Identifier
1558324913
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A90756 Issued in CA
Practice address
1408 Commercial Way
Bakersfield, CA 93309-0407
Phone
(661) 327-4455
Fax
(661) 633-3976
NPI assigned
Apr 7, 2006
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A90756 CA Primary

Addresses

Primary practice location

1408 Commercial Way
Bakersfield, CA 93309-0407

Mailing address

PO Box 1805
Bakersfield, CA 93302
Phone (661) 864-3664

Other identifiers 1

IdentifierTypeStateIssuer
A090756MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816001165 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 6709816002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Summit Medical CorporationGroup PAC ID 6002800588, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

1408 Commercial Way
Bakersfield, CA 93309-0406
Phone (661) 327-4455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy313
Upper gastrointestinal (GI) endoscopy for acid reflux507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90756CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Summit Medical Corporation CurrentSince Jul 1, 2005 Accepting new patients
Silver Summit Medical Corporation Specialist CurrentSince Oct 1, 2009 Accepting new patients
Silver Summit Medical Corporation Specialist CurrentSince Jul 1, 2005 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Silver Summit Medical Corporation Specialist Past Accepting new patients

Locations

1408 Commercial Way
Bakersfield, CA 93309
Phone (661) 327-4455

1408 Commercial Way
Ste B
Bakersfield, CA 93309
Phone (661) 327-4455

1408 Commercial Way
Ste C
Bakersfield, CA 93309
Phone (661) 327-4455

1408 Commercial Way
Ste E
Bakersfield, CA 93309

5020 Commerce Dr
Ste B
Bakersfield, CA 93309
Phone (661) 727-0000

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1558324913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93302",
            "telephone_number": "661-864-3664",
            "fax_number": "661-328-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COMMERCIAL WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090407",
            "telephone_number": "661-327-4455",
            "fax_number": "661-633-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLIARSKY",
        "first_name": "IVAYLO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A90756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A090756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.