Individual provider Active NPI

Warren Jason Wisnoff, DO

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1619956927
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9093 Issued in CA
Practice address
7702 Meany Ave
Suite 101
Bakersfield, CA 93308-5198
Phone
(661) 843-7830
Fax
(661) 843-7831
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A9093 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 20A9093 CA
Internal Medicine Physician 207R00000X 20A9093 CA Primary

Addresses

Primary practice location

7702 Meany Ave
Suite 101
Bakersfield, CA 93308-5198

Mailing address

7702 Meany Ave
Suite 101
Bakersfield, CA 93308-5198
Phone (661) 843-7830

Other identifiers 3

IdentifierTypeStateIssuer
00AX90930MedicaidCA
AN893ZOtherCAMEDICARE PTAN-SOUTHWEST
AN893YOtherCAMEDICARE PTAN-URGENT CARE

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
I20050906001072 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123094380 Reassigns benefits to 3 organizations
Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Apex Medical Clinics PCGroup PAC ID 2365924586, 2 clinicians
Todd Farrer, M.D., Inc.Group PAC ID 0244492098, 4 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2120 Truxtun Ave
Bakersfield, CA 93301-3703
Phone (661) 404-4661

7440 Meany Ave
Suite B
Bakersfield, CA 93308-5184
Phone (661) 843-7841

Hospital & facility affiliations

  • Around the Clock Home Care Home health agency, Bakersfield, CA, CCN 557765
  • Hoffmann Hospice Hospice, Bakersfield, CA, CCN 051646
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Merit-based Incentive Payment System (MIPS)

Final score
35.47 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
44.92

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2270TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Medical Clinics PC CurrentSince Jan 19, 2026 Accepting new patients
Todd Farrer MD Inc CurrentSince Jun 15, 2012 Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients
Encompass Health Rehabilitation Hospital of Bakersfield, LLC Past Accepting new patients
Central California Hospitalists Internal Medicine Past Accepting new patients

Locations

7440 Meany Ave
Ste B
Bakersfield, CA 93308
Phone (661) 843-7843

2120 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 327-3638

7702 Meany Ave
Ste 105
Bakersfield, CA 93308
Phone (661) 340-7974

5001 Commerce Dr
Bakersfield, CA 93309
Phone (661) 323-5500

7702 Meany Ave
Ste 101
Bakersfield, CA 93308
Phone (661) 679-3752

Organizations & group practices 6

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 10

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1619956927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 MEANY AVE",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085198",
            "telephone_number": "661-843-7830",
            "fax_number": "661-843-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 MEANY AVE",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085198",
            "telephone_number": "661-843-7830",
            "fax_number": "661-843-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNOFF",
        "first_name": "WARREN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A9093",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A9093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX90930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-SOUTHWEST",
            "identifier": "AN893Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-URGENT CARE",
            "identifier": "AN893Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.