Individual provider Active NPI

Abimbola Olufemi Layeni, M.D

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1811962384
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C198781 Issued in CA
Practice address
5121 Stockdale Hwy
Bakersfield, CA 93309-2656
Phone
(661) 473-1500
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L0369 TX
Psychiatry Physician 2084P0800X CDR.0002720 CO
Psychiatry Physician 2084P0800X C198781 CA Primary

Addresses

Primary practice location

5121 Stockdale Hwy
Bakersfield, CA 93309-2656

Mailing address

1901 N Central Expy Ste 220
Richardson, TX 75080-3774
Phone (972) 768-2880

Other practice location 1

1901 N Central Expy Ste 220
Richardson, TX 75080-3774
Phone (972) 680-8986 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100715000331 TX Practitioner - Psychiatry 2466584131 Reassigns benefits to 2 organizations
I20241210002889 CA Practitioner - Psychiatry 2466584131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

1600 E Belle Ter
Bakersfield, CA 93307-3871
Phone (661) 635-2950

5121 Stockdale Hwy
Bakersfield, CA 93309-2656
Phone (661) 868-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C198781CAMDPsychiatry Physician
L0369TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry Current Accepting new patients
County of Kern CurrentSince Nov 1, 2024 Accepting new patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Apr 14, 2010 Accepting new patients
County of Kern Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients

Locations

5121 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 473-1500

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

Organizations & group practices 6

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811962384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N CENTRAL EXPY STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803774",
            "telephone_number": "972-768-2880",
            "fax_number": "972-680-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092656",
            "telephone_number": "661-473-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Central Expy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803774",
            "country_code": "US",
            "telephone_number": "972-680-8986 x3",
            "fax_number": "972-680-9216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYENI",
        "first_name": "ABIMBOLA",
        "middle_name": "OLUFEMI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L0369",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDR.0002720",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C198781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.