Organization Active NPI

Infectious Disease Tele-Medical of California PC

  • Infectious Disease Physician
  • Bakersfield, CA
National Provider Identifier
1942097464
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE TELE-MEDICAL OF CALIFORNIA PC
Practice address
4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309
Phone
(833) 271-2408
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Liyuen G. Wills
Title
Director, Credentialing Services
Phone
(724) 383-6195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309

Mailing address

5800 Corporate Dr Ste 300
Pittsburgh, PA 15237-7098
Phone (833) 271-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, DC, PA, CO, CT, NY7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20250814001364 CA Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 1 practitioner
Practice locations: Alameda, CA
O20250915003049 NJ Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 1 practitioner
Practice locations: Piscataway, NJ
O20250916000458 DC Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 2 practitioners
Practice locations: Gaithersburg, MD; Rockville, MD
O20250930000538 PA Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 2 practitioners
Practice locations: Breinigsville, PA
O20251022000146 CO Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20251024002023 CT Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT
O20260407003194 NY Part B Supplier - Clinic/Group Practice 3779082128 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, NY

National Provider Directory

National Provider Directory

Locations

6425 Penn Ave
Ste 200
Pittsburgh, PA 15206
Phone (724) 383-6195

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1942097464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "833-271-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVENUE",
            "address_2": "TOWER B, 2ND FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "833-271-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE TELE-MEDICAL OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "LIYUEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING SERVICES",
        "authorized_official_telephone_number": "724-383-6195"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "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 Jul 22, 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.