NPIMap

Organization Active NPI

Arise Psychiatric Medical Group Inc

  • Child & Adolescent Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1972183648
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ARISE PSYCHIATRIC MEDICAL GROUP INC
Practice address
1500 Haggin Oaks Blvd Ste 202
Bakersfield, CA 93311-1333
Phone
(661) 735-3887
Fax
(661) 836-5545
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Dr. Kingwai Lui, DONPI 1639584220
Title
President
Phone
(626) 696-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1500 Haggin Oaks Blvd Ste 202
Bakersfield, CA 93311-1333

Mailing address

8200 Stockdale Hwy
Suite M10 Box 329
Bakersfield, CA 93311
Phone (949) 466-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615000249 CA Part B Supplier - Clinic/Group Practice 6709286677 Receives reassigned benefits from 8 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3409 Calloway Dr
Ste 601
Bakersfield, CA 93312
Phone (661) 589-1200

100 Willow Plz
Ste 309
Visalia, CA 93291
Phone (559) 372-0523

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1972183648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 STOCKDALE HWY",
            "address_2": "SUITE M10 BOX 329",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "949-466-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HAGGIN OAKS BLVD STE 202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111333",
            "telephone_number": "661-735-3887",
            "fax_number": "661-836-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE PSYCHIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "LUI",
        "authorized_official_first_name": "KINGWAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-696-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "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 Apr 8, 2021; 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.