Individual provider Active NPI

Ali Reza Banihashemi, M.D.

  • Ophthalmology Physician
  • Bakersfield, CA
National Provider Identifier
1891803326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G71130 Issued in CA
Practice address
4580 California Ave
3Rd Floor
Bakersfield, CA 93309-1104
Phone
(661) 846-4985
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G71130 CA Primary

Addresses

Primary practice location

4580 California Ave
3Rd Floor
Bakersfield, CA 93309-1104

Mailing address

4580 California Ave
3Rd Floor
Bakersfield, CA 93309-1104
Phone (661) 846-4985

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
I20111207000199 CA Practitioner - Ophthalmology 1850566605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Eyecare IncGroup PAC ID 3971871849, 9 clinicians

Practice addresses (Care Compare)

1721 Westwind Dr
Suite B
Bakersfield, CA 93301-3026
Phone (661) 215-1006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G71130CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Eyecare Inc Ophthalmology CurrentSince Nov 1, 2025 Accepting new patients
Hosein Mohammadi, M.D., Inc. CurrentSince Apr 22, 1991 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1721 Westwind Dr
#B
Bakersfield, CA 93301
Phone (661) 215-1006

4580 California Ave
Fl 3
Bakersfield, CA 93309
Phone (661) 846-4985

5000 Physicians Blvd
Ste 100
Bakersfield, CA 93301
Phone (323) 257-3300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891803326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "address_2": "3RD FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-846-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "address_2": "3RD FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-846-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIHASHEMI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G71130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.