Individual provider Active NPI

Mansukh Ranchhodbhai Ghadiya, MD

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1972537736
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71759 Issued in CA
Practice address
2201 Mount Vernon Ave
Suite 211 a
Bakersfield, CA 93306-3341
Phone
(661) 215-4948
Fax
(855) 677-5701
NPI assigned
Jul 10, 2006
Last updated
Jun 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71759 CA Primary

Addresses

Primary practice location

2201 Mount Vernon Ave
Suite 211 a
Bakersfield, CA 93306-3341

Mailing address

PO Box 60770
Bakersfield, CA 93386-0770
Phone (661) 215-4948

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
I20040318000839 CA Practitioner - Family Practice 5395635759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2201 Mount Vernon Ave
Suite 211a
Bakersfield, CA 93306-3312
Phone (661) 215-4948

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue40
Removal of skin lesions132
Removal or shaving of skin growth55
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71759CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
Kern Faculty Medical Group Family Medicine Past Accepting new patients
Kern Valley Healthcare District Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1972537736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60770",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933860770",
            "telephone_number": "661-215-4948",
            "fax_number": "855-677-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MOUNT VERNON AVE",
            "address_2": "SUITE 211 A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063341",
            "telephone_number": "661-215-4948",
            "fax_number": "855-677-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADIYA",
        "first_name": "MANSUKH",
        "middle_name": "RANCHHODBHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.