Individual provider Active NPI

Rene Delgadillo, M.D.

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1669781597
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A125155 Issued in CA
Practice address
1700 Mount Vernon Ave
Room 3051
Bakersfield, CA 93306
Phone
(661) 326-5411
NPI assigned
Sep 27, 2010
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A125155 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Room 3051
Bakersfield, CA 93306

Mailing address

1700 Mount Vernon Ave
Room 3051
Bakersfield, CA 93306
Phone (661) 326-5411

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
I20141015001657 CA Practitioner - Psychiatry 0840411922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KCS, Inc.Group PAC ID 0446495105, 16 clinicians

Practice addresses (Care Compare)

451 W Lincoln Ave
Suite 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125155CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KCS, Inc. CurrentSince Jul 29, 2022 Accepting new patients
KCS, Inc. CurrentSince Jul 29, 2022 Accepting new patients

Locations

451 W Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 507-3770

7212 Orangethorpe Ave
Ste 9A
Buena Park, CA 90621
Phone (714) 449-1125

19742 MacArthur Blvd
Ste 250
Irvine, CA 92612
Phone (949) 486-8530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rene.delgadillo.p1@direct.kcs.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1669781597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "ROOM 3051",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-326-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "ROOM 3051",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-326-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADILLO",
        "first_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A125155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.