Rhett Anthony Blancaflor Pelaez Jr, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A151776 Issued in CA

Practice address

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Phone

(661) 326-2000

NPI assigned

Apr 8, 2015

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of California - Department of Developmental ServicesGroup PAC ID 4082788732, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Porterville Developmental Center Hospital, Porterville, CA, CCN 050546

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of California - Department of Developmental Services

  dba Lanterman Developmental Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1154372498
  Medicare reassignment Care Compare group NPD
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment NPD
• Agnews Community Clinic

  • Developmental Disabilities Clinic/Center
  • San Jose, CA
  • NPI 1710148515
  NPD
• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1588615835
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1588615835
  Care Compare affiliation

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1891181640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE RM 1241",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ JR",
        "first_name": "RHETT ANTHONY",
        "middle_name": "BLANCAFLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A151776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pegasus Dialysis, LLC
• Aaron Peinado, PA
• Albert J Peinado, MD
• Ravindra Peiris
• Chantravuth K Pel, LVN
• Sandra Sue Pelant, LVN
• Jose Angel Pelayo
• Karen C Pelham
• Samantha Jollene Pelletier
• Jamie Pelster

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.