Individual provider Active NPI

David W Riel, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1730170176
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13079 Issued in CA
Practice address
300 Old River Rd
Suite 150
Bakersfield, CA 93311-9503
Phone
(661) 663-7600
Fax
(661) 663-7676
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13079 CA Primary

Addresses

Primary practice location

300 Old River Rd
Suite 150
Bakersfield, CA 93311-9503

Mailing address

3505 Rancho Sierra St
Bakersfield, CA 93306-1823
Phone (661) 663-7600

Other identifiers 1

IdentifierTypeStateIssuer
PA13079OtherCASTATE LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000303 CA Practitioner - Physician Assistant 5890737985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakersfield Family Medical Group IncGroup PAC ID 9335052737, 20 clinicians

Practice addresses (Care Compare)

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc CurrentSince Jan 4, 2021 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince May 1, 2009 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: david.riel.p8@direct.bfmc.nextgenshare.com
  • Direct secure messaging: david.riel.d1.p1@direct.bfmc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1730170176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 RANCHO SIERRA ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933061823",
            "telephone_number": "661-663-7600",
            "fax_number": "661-663-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD",
            "address_2": "SUITE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "661-663-7600",
            "fax_number": "661-663-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEL",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA13079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.