Active NPI
Jasmine Moini, MD
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1982799771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G54049
- Practice address
- 300 Old River Rd Ste 110
Bakersfield, CA 93311-9506 - Phone
- (661) 665-0184
- Fax
- (661) 665-8219
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G54049 | CA | Primary |
Addresses
Primary practice location
300 Old River Rd Ste 110
Bakersfield, CA 93311-9506
Mailing address
300 Old River Rd Ste 110
Bakersfield, CA 93311-9506
Phone (661) 665-0184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1982799771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD RIVER RD STE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119506",
"telephone_number": "661-665-0184",
"fax_number": "661-665-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD RIVER RD STE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119506",
"telephone_number": "661-665-0184",
"fax_number": "661-665-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINI",
"first_name": "JASMINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G54049",
"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 Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.