Individual provider Active NPI

Luis Mariscal, M.D.

  • Radiation Oncology Physician
  • Bakersfield, CA
National Provider Identifier
1821231614
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A-115261 Issued in CA
Practice address
2620 Chester Ave
Bakersfield, CA 93301-2015
Phone
(661) 323-4673
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A-115261 CA Primary

Addresses

Primary practice location

2620 Chester Ave
Bakersfield, CA 93301-2015

Mailing address

PO Box 22841
Bakersfield, CA 93390-2841
Phone (949) 838-5514

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
I20110927000293 CA Practitioner - Radiation Oncology 5092986810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Irvine, California College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Practice addresses (Care Compare)

2615 Chester Ave
Bakersfield, CA 93301-2014

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115261CAMDPharmacy Technician
A-115261CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Aug 1, 2014 Accepting new patients
San Joaquin Community Hospital CurrentSince Aug 1, 2014 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

Organizations & group practices 3

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 2

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1821231614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22841",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902841",
            "telephone_number": "949-838-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012015",
            "telephone_number": "661-323-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A-115261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.