Richard Alexan MD Inc – Specialist in Bakersfield, CA

Key facts

NPI: 1770748014
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: A85082 (CA)
Legal business name: RICHARD ALEXAN MD INC
Practice address: 4900 Commerce Dr
Bakersfield, CA 93309-0418
Phone: (661) 395-0900
Fax: (661) 395-0700
NPI assigned: Jul 25, 2008
Organization subpart: No

Authorized official

Name: Dr. Richard Alexan-Shirabad, M.D. NPI 1104859909
Title: President
Phone: (661) 395-0900

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Richard Alexan-Shirabad, M.D. Neurology Physician · Bakersfield, CA · NPI 1104859909

Medicare reassignment Care Compare group NPD Authorized official CA
Amandeep Kaur Deol Nurse Practitioner · Bakersfield, CA · NPI 1659250710

Medicare reassignment Care Compare group NPD CA
Irina Frangulyan, LAC, FNP-C Family Nurse Practitioner · Los Angeles, CA · NPI 1780127118

Medicare reassignment Care Compare group NPD CA
Carmelo O Diaz, PA-C Medical Physician Assistant · Salt Lake City, UT · NPI 1326420217

Medicare reassignment CA
Aleck Qihao Sun, PA-C Physician Assistant · Bakersfield, CA · NPI 1033068507

Care Compare group
Michelle Mangahas Family Nurse Practitioner · Bakersfield, CA · NPI 1881562031

NPD (past)
Katherine J Worsdale, RN, NP, MSN Nurse Practitioner · Bakersfield, CA · NPI 1801313853

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20090216000479	CA	Part B Supplier - Clinic/Group Practice	3173688710	Receives reassigned benefits from 4 practitioners Practice locations: Bakersfield, CA

National Provider Directory

Locations

820 34th St
Ste 203
Bakersfield, CA 93301
Phone (661) 395-0900

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

4900 Commerce Dr
Ste A
Bakersfield, CA 93309
Phone (661) 395-0900

Networks

BSC 65 PLUS INDIVIDUAL MAPD
Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X	A85082	CA	Yes

Addresses

Primary practice location

4900 Commerce Dr
Bakersfield, CA 93309-0418

Mailing address

PO Box 10719
Bakersfield, CA 93389-0719
Phone (661) 395-0900

Other providers in Bakersfield, CA

Kelci Francesca Noel Riccomini
Cheryl Sue Rice
Mika Rice
Leslie Anne Rich
Michelle Lorraine Rich, CADC-II A022890516
Richard Ling, M.D., Inc.
Honey J Richard
London Phylicia Richard
Theodore Richard III
Noelle Richards

All providers in Bakersfield, CA · Specialist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.