Abraham Avi Nisim, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A964333 Issued in CA

Practice address

500 Old River Rd Ste 185
Bakersfield, CA 93311-9505

Phone

(661) 748-1886

Fax

(661) 479-5063

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Medicare reassignment NPD
• University Surgeons of Orange a Medical Group

  • Surgery Physician
  • Orange, CA
  • NPI 1407806904
  Medicare reassignment NPD
• San Joaquin Community Hospital

  • Home Health Agency
  • Bakersfield, CA
  • NPI 1740278720
  NPD
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Cedars-Sinai Medical Center

  • Registered Dietitian
  • West Hollywood, CA
  • NPI 1083785489
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1639306392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 185",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119505",
            "telephone_number": "661-748-1886",
            "fax_number": "661-479-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 185",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119505",
            "telephone_number": "661-748-1886",
            "fax_number": "661-479-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIM",
        "first_name": "ABRAHAM",
        "middle_name": "AVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A964333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmal Singh, MD, LLC
• Nirog Medical Inc
• Nirup Reddy & Bortay Dehnadi DDS Inc
• Nirup Reddy and Bortay Dehnadi D.D.S, Inc.
• Nisim Surgical
• Morgan Nixon
• Howard Nizar, M.D.
• Trina Njoroge
• Isaac Nkwang
• NM Transpotacion LLC

• Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.