Individual provider Active NPI

Jeffrey Stephen Wick, MD

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
National Provider Identifier
1891795092
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G74695 Issued in CA
Practice address
5001 Commerce Dr
Bakersfield, CA 93309-0648
Phone
(661) 374-5457
Fax
(661) 410-8685
NPI assigned
Jul 28, 2005
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G74695 CA Primary

Addresses

Primary practice location

5001 Commerce Dr
Bakersfield, CA 93309-0648

Mailing address

8200 Stockdale Hwy
Ste M10-357
Bakersfield, CA 93311-1091
Phone (661) 374-5457

Other identifiers 1

IdentifierTypeStateIssuer
447038MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20120124000188 AZ Practitioner - Physical Medicine and Rehabilitation 6608768270
I20160203002526 CA Practitioner - Physical Medicine and Rehabilitation 6608768270 Reassigns benefits to 1 organization
Practice locations: Bakersfield, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74695CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physiatry, PC Current Accepting new patients
Vibra Physicians LLC CurrentSince Sep 15, 2019 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Feb 20, 2023 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Feb 20, 2023 Accepting new patients
American Current Care of California, a Medical Corporation Past Accepting new patients

Locations

3700 N Windsong Dr
Prescott Vly, AZ 86314
Phone (575) 640-3382

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

5001 Commerce Dr
Bakersfield, CA 93309
Phone (661) 323-5500

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

5 E River Park Pl E
Ste 460
Fresno, CA 93720

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1891795092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 STOCKDALE HWY",
            "address_2": "STE M10-357",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111091",
            "telephone_number": "661-374-5457",
            "fax_number": "661-410-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 COMMERCE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090648",
            "telephone_number": "661-374-5457",
            "fax_number": "661-410-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "JEFFREY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G74695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.