DR. SHAWN DALE ISAEFF (NPI# 1205803897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205803897 |
| Entity Type | Individual |
| Full Name | DR. SHAWN DALE ISAEFF |
| Credential | M.D. |
| Practice Address |
5020 Commerce Dr E Bakersfield CA 93309-0631 |
| Mailing Address |
5020 Commerce Dr Ste. E Bakersfield CA 93309-0631 |
| Practice Telephone | 6613244200 |
| Practice Fax Number | 6613712961 |
| Mailing Telephone | 6618290074 |
| Mailing Fax Number | 6612007783 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2016-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24914 | OK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD34076 | TN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
C55447 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3850918 | 05 | |
| OK | RAILROAD MEDICARE | P00345589 | 01 |
| OK | MEDICARE | 247622001 | 01 |
| OK | 200084140A | 05 | |
| OK | MEDICARE | 247622002 | 01 |
| Street Address |
5020 COMMERCE DR E |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699220491 | Phyllis E Adjei | Registered Nurse | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2016-08-22 |
| 1730543083 | Kyle Huber | Podiatrist | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2016-04-12 |
| 1700269933 | Roldine Banatte-garcon | Nurse Practitioner | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2015-07-07 |
| 1356771745 | Brenda Varela | Nurse Practitioner | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2013-11-21 |
| 1164779534 | Natalia Sanchez | Physician Assistant | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2012-08-05 |
| 1386909273 | Gerardo Murguia | Physician Assistant | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2012-07-07 |
| 1992078745 | Arthur Thomas Maydell | Radiology | 5020 Commerce Dr, E, Bakersfield, CA 93309-0631 | 2012-02-09 |
| 1659656668 | Harinder Singh Brar | Internal Medicine | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2011-10-21 |
| 1528346111 | Inyong Hwang | Internal Medicine | 5020 Commerce Dr, Bakersfield, CA 93309 | 2011-07-30 |
| 1134379126 | Samir Samarany | Internal Medicine | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2008-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427551340 | Riverwalk Medical Corporation | Radiology | 5000 Commerce Drive, Bakersfield, CA 99309 | 2018-03-16 |
| 1245208727 | Russell K Paul | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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| 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.