Individual provider Active NPI

Vivek Radhakrishnan, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1699271965
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A174503 Issued in CA
Practice address
5401 White LN
Bakersfield, CA 93309-6279
Phone
(661) 412-9391
Fax
(661) 735-0168
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A174503 CA Primary

Addresses

Primary practice location

5401 White LN
Bakersfield, CA 93309-6279

Mailing address

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 412-9391

Other practice location 1

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 412-9391

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
I20220414002153 CA Practitioner - Internal Medicine 3375963002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 396-7100

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Bristol Hospice - Bakersfield Hospice, Bakersfield, CA, CCN 051725
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257
  • Delano District Skilled Nursing Facility Nursing home, Delano, CA, CCN 555479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174503CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Medical Group of Bakersfield Inc CurrentSince Jan 6, 2022 Accepting new patients
Infusion and Clinical Services, Inc. Internal Medicine CurrentSince Jan 6, 2022 Accepting new patients
Infusion and Clinical Services, Inc Internal Medicine CurrentSince Jan 6, 2022 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Infusion and Clinical Services,Inc Internal Medicine Past Accepting new patients

Locations

5400 Aldrin Ct
Bakersfield, CA 93313
Phone (661) 735-8867

611 Airport Dr
Bakersfield, CA 93308
Phone (661) 556-4777

5401 White Ln
#A
Bakersfield, CA 93309
Phone (661) 557-4189

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 396-7100

1311 Columbus St
Bakersfield, CA 93305
Phone (661) 379-6061

23 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 617-0091

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 6

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1699271965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-412-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-412-9391",
            "fax_number": "661-735-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4043 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93309",
            "country_code": "US",
            "telephone_number": "661-412-9391",
            "fax_number": "661-735-0168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "VIVEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.