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Deactivated NPI 1720192701 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Baskerville , MD

Internal Medicine • Bakersfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Baskerville has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date August 02, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Baskerville, MD was a registered Internal Medicine practicing in Bakersfield, CA. Throughout an active medical career spanning 15 years, Dr. Baskerville provided care at the practice location at 815 DR MARTIN LUTHER KING JR BLVD until profile deactivation on 2021-08-02.

Practice Location & Contact Primary Location

Practice Address

815 Dr Martin Luther King Jr Blvd

Bakersfield, CA 933071365

Telephone 6613223905
Fax 6613221370
Associated Practice Facility / Clinic
🏢 Clinica Sierra Vista Facility NPI 1861494338

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bakersfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.9 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
219 Specialists

Practicing in Bakersfield, CA (18502 Statewide)

Telehealth Adoption Rate
23.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA C21442

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Jot Preet Sahi , MD

General Practice

NPI 1093129702

Doctor of Medicine (M.D.)

Dr. Jacqueline Paul , MD

Internal Medicine

NPI 1134232473

Doctor of Medicine (M.D.)

Dr. Sunday Irene , MD

Family Medicine

NPI 1154541019

Doctor of Medicine (M.D.)

NPI 1275646606

Doctor of Medicine (M.D.)

Dr. Tamas Kocsis , MD

Obstetrics & Gynecology

NPI 1366546798

Doctor of Medicine (M.D.)

Charles Ike , PA-C

Physician Assistant

NPI 1366555799

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 933071365 (Tel: 6613223905)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1559, 1430 TRUXTUN AVE STE 400, BAKERSFIELD, CA 933021559 (Tel: 6616353050)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL BASKERVILLE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #C21442 in CA)

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Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720192701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: August 02, 2021

Mailing Address

Po Box 1559, 1430 Truxtun Ave Ste 400

Bakersfield, CA 933021559

Phone: 6616353050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.