Organization Active NPI

Robert L Waguespack MD, Apc

  • Urology Physician
  • Bakersfield, CA
National Provider Identifier
1598796799
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ROBERT L WAGUESPACK MD, APC
Practice address
2530 F St
Suite 101
Bakersfield, CA 93301-3843
Phone
(661) 321-3303
Fax
(661) 321-3308
NPI assigned
Jul 5, 2006
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Robert L Waguespack, MDNPI 1588647481
Title
Owner
Phone
(661) 321-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

2530 F St
Suite 101
Bakersfield, CA 93301-3843

Mailing address

PO Box 406
Bakersfield, CA 93302-0406
Phone (661) 321-3303

Other identifiers 1

IdentifierTypeStateIssuer
00G849950MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160112000686 CA Part B Supplier - Clinic/Group Practice 4688976392 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2040846Robert L. Waguespack MD, Apc2530 F St Ste 101, Bakersfield, CA 93301Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

2530 F St
Ste 101
Bakersfield, CA 93301
Phone (661) 321-3303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1598796799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933020406",
            "telephone_number": "661-321-3303",
            "fax_number": "661-321-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 F ST",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013843",
            "telephone_number": "661-321-3303",
            "fax_number": "661-321-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L WAGUESPACK MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "WAGUESPACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-321-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G849950",
            "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 Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.