Healthcare Provider Details

I. General information

NPI: 1508399122
Provider Name (Legal Business Name): SETARE ESLAMI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SETARE ESLAMI M.D.

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 03/07/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HAGGIN OAKS BLVD STE 202
BAKERSFIELD CA
93311-1333
US

IV. Provider business mailing address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-3887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA163460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: