Individual provider Active NPI

Akshita Sandip Khode

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1922685221
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106139 Issued in CA
Practice address
525 Roberts LN
Bakersfield, CA 93308-4799
Phone
(661) 459-1900
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032966 IL
Dentist 122300000X 106139 CA Primary

Addresses

Primary practice location

525 Roberts LN
Bakersfield, CA 93308-4799

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003240 CA Practitioner - Dentist 5799185435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032966ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince May 17, 2021 Accepting new patients
Omni Family Health CurrentSince May 17, 2021 Accepting new patients
Omni Family Health Current Accepting new patients

Locations

6700 Niles St
Ste 185
Bakersfield, CA 93306

3800 Mall View Rd
Bakersfield, CA 93306

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

311 W Noble Ave
Visalia, CA 93277
Phone (559) 625-9200

Interoperability endpoints

  • Direct secure messaging: akshita.khode.p1@direct.omnifamilyhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1922685221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROBERTS LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084799",
            "telephone_number": "661-459-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODE",
        "first_name": "AKSHITA",
        "middle_name": "SANDIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032966",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.