Individual provider Active NPI

Liviu G Pasaboc, DPM

  • Podiatrist
  • Bakersfield, CA
National Provider Identifier
1659363554
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E 3891 Issued in CA
Practice address
110 New Stine Rd
Bakersfield, CA 93309
Phone
(661) 832-1667
Fax
(661) 832-7145
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E 3891 CA Primary

Addresses

Primary practice location

110 New Stine Rd
Bakersfield, CA 93309

Mailing address

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Other practice location 1

3857 Stockdale Hwy
Bakersfield, CA 93309-2187
Phone (661) 832-1667

Other practice location 2

448 W Putnam Ave
Porterville, CA 93257-3321
Phone (559) 784-3118

Other practice location 3

1519 Garces Hwy Ste 107
Delano, CA 93215-3694
Phone (661) 725-1664

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000915 CA Practitioner - Podiatry 0840360343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
43.37
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1346
Removal of skin lesions1-10
Removal of nail tissue4508
Removal or shaving of skin growth2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 3891CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Podiatry Group Inc Podiatrist CurrentSince Jun 1, 2012 Accepting new patients
Adventist Health Delano Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
K David Flora DPM Inc Podiatrist PastSince Nov 24, 2019 Accepting new patients
Nora Medical Inc PastSince Oct 20, 2018 Accepting new patients

Locations

3501 Mall View Rd
Ste 104
Bakersfield, CA 93306

8307 Brimhall Rd
Ste 1704
Bakersfield, CA 93312
Phone (661) 829-7415

1326 H St
Ste 1
Bakersfield, CA 93301
Phone (661) 322-5900

1701 27th St
Bakersfield, CA 93301
Phone (661) 322-2895

3857 Stockdale Hwy
Bakersfield, CA 93309
Phone (619) 832-1667

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

1700 Adams Ave
Ste 204
Costa Mesa, CA 92626
Phone (714) 434-1776

1519 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 324-4721

1332 W Herndon Ave
Ste 100
Fresno, CA 93711
Phone (559) 432-1647

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

1755 W Hammer Ln
#7B
Stockton, CA 95209
Phone (714) 572-2039

1086 N Cherry St
Tulare, CA 93274
Phone (559) 688-3668

4946 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-1405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659363554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3857 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092187",
            "country_code": "US",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573321",
            "country_code": "US",
            "telephone_number": "559-784-3118",
            "fax_number": "559-784-7486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Garces Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932153694",
            "country_code": "US",
            "telephone_number": "661-725-1664",
            "fax_number": "661-725-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASABOC",
        "first_name": "LIVIU",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E 3891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.