Organization Active NPI

Pediatrics for All Inc

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1720553902
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS FOR ALL INC
Practice address
2700 F St Ste 210
Bakersfield, CA 93301-1850
Phone
(661) 631-2229
Fax
(661) 742-1644
NPI assigned
Oct 4, 2018
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Niranjan Dass, M. D.NPI 1255650776
Title
President
Phone
(661) 631-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2700 F St Ste 210
Bakersfield, CA 93301-1850

Mailing address

2700 F St Ste 210
Bakersfield, CA 93301-1850
Phone (616) 312-2296

Other practice location 1

245 W Loraine st # 242
Glendale, CA 91202
Phone (818) 964-3114

Other identifiers 2

IdentifierTypeStateIssuer
THP70684FOtherCAMEDICAL NO.
HL505ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518001991 CA Part B Supplier - Clinic/Group Practice 3274932579 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

2700 F St
Ste 104
Bakersfield, CA 93301

2700 F St
Ste 210
Bakersfield, CA 93301
Phone (661) 631-2229

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1720553902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 F ST STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011850",
            "telephone_number": "616-312-2296",
            "fax_number": "661-742-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 F ST STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011850",
            "telephone_number": "661-631-2229",
            "fax_number": "661-742-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 W Loraine st # 242",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "91202",
            "country_code": "US",
            "telephone_number": "818-964-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRICS FOR ALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "DASS",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-631-2229",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NO.",
            "identifier": "THP70684F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HL505Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.