Organization Active NPI

On Demand Neurology of Ca PC

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1902553886
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ON DEMAND NEUROLOGY OF CA PC
Practice address
4900 California Ave Ste 210B
Bakersfield, CA 93309-7080
Phone
(650) 387-6322
NPI assigned
Mar 9, 2022
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Kristal Blair, CREDENTIALING
Title
Credentialing
Phone
(341) 237-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4900 California Ave Ste 210B
Bakersfield, CA 93309-7080

Mailing address

120 W 45TH St FL 21
New York, NY 10036-4041
Phone (313) 887-0960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230421000350 CA Part B Supplier - Clinic/Group Practice 8224493507 Receives reassigned benefits from 7 practitioners
Practice locations: Bakersfield, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

335 Madison Ave
Fl 4
New York, NY 10017
Phone (561) 693-2509

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1902553886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 45TH ST FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364041",
            "telephone_number": "313-887-0960",
            "fax_number": "212-214-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 210B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097080",
            "telephone_number": "650-387-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND NEUROLOGY OF CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "341-237-2179",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.