DR. SHAKTI DAYAL SRIVASTAVA


Address: 1111 Columbus St Ste 3000, Bakersfield, CA 93305
Phone: 6613262800

DR. SHAKTI DAYAL SRIVASTAVA (NPI# 1710081781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710081781
Entity Type Individual
Full Name DR. SHAKTI DAYAL SRIVASTAVA
Credential M.D.
Practice Address 1111 Columbus St Ste 3000
Bakersfield
CA 93305
Mailing Address 1111 Columbus St Ste 3000
Bakersfield
CA 93305-1939
Practice Telephone 6613262800
Practice Fax Number 6618627604
Mailing Telephone 6613266546
Mailing Fax Number 6618627604
Enumeration Date 2006-09-12
Last Update Date 2020-07-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
A99233 CA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist A99233 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1401 Garces Hwy, Delano, CA 93215 6613323355

Office Location

Street Address 1111 COLUMBUS ST STE 3000
City BAKERSFIELD
State CA
Zip Code 93305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700485471 Kristi Marie Susca Dietitian, Registered 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2020-10-22
1902261266 Maria Fatima Alcocer Ruiz Marriage & Family Therapist 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2015-12-30
1922403724 James Riley Browning Case Manager/Care Coordinator 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2014-10-23
1962807768 Alfonso Velasquez Diaz Student in an Organized Health Care Education/Training Program 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2014-10-23
1275956013 Rubi Gutierrez Case Manager/Care Coordinator 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2014-01-30
1871932434 Lisa Roseann Blakley Case Manager/Care Coordinator 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2013-06-17
1679810501 Sadie M Ward Case Manager/Care Coordinator 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2013-01-11
1659647253 Desiree Marie Escobedo Marriage & Family Therapist 1111 Columbus St Ste 3000, Bakersfield, CA 93305-1939 2012-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972112712 County of Kern Clinic/Center 316 Kentucky, Bakersfield, CA 93305 2020-07-28
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1447741632 Kern County Probation Department Military Health Care Provider 2005 Ridge Road, Bakersfield, CA 93305 2018-05-23
1164871091 Luis Gomez Case Manager/Care Coordinator 1415 Truxtun Avenue, Bakersfield, CA 93305 2016-06-10
1659747327 Orchid Home Health Inc. Home Health 3016 Union Avenue, Bakersfield, CA 93305 2015-08-18
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1982948030 Kern Medical Center General Acute Care Hospital 1420 H Street, Bakersfield, CA 93305 2012-11-15
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

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NPI Name Taxonomy Address Enumeration
1033693734 Nora Medical Inc Family Medicine 8307 Brimhall Rd Unit 1704, Bakersfield, CA 93312-2243 2018-09-18
1780815563 Srilakshmi Madhusudhan Family Medicine 3838 San Dimas St Ste 200, Bldg A, Bakersfield, CA 93301-2284 2009-07-28
1851430797 Vincent Joseph Maddela Family Medicine 2701 Chester Ave # 201, Bakersfield, CA 93301-2016 2007-02-06
1003381583 Edgar Moreno Family Medicine 6001 Truxtun Ave, Bakersfield, CA 93309-0679 2018-10-10
1013448331 Aashini Shah Family Medicine 2615 Chester Ave, Bakersfield, CA 93301-2014 2017-03-27

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1386269306 Universal Mobile Doctors Inc Family Medicine 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 2020-06-16
1619597671 Harry Eisenbach Family Medicine 9312 Smoketree Ln, Villa Park, CA 92861-1011 2020-04-20
1669092854 Wellbeing Clinic Inc Family Medicine 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 2020-04-17
1619513611 Krista Mckinney Family Medicine 344o E. La Palma Avenue, Anaheim, CA 92806 2019-11-25
1457995565 Ucsf Medical Group Business Services Family Medicine 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 2019-10-31
1780237313 Charles Kim Md Inc Family Medicine 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 2019-07-23
1083277206 Baum 5 Star Healthcare Family Medicine 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 2019-04-15
1477025278 Connexus Family Clinic Inc Family Medicine 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 2018-12-19
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Competitor

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City BAKERSFIELD
Zip Code 93305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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