MIKA MATSUMOTO (NPI# 1487160610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487160610 |
| Entity Type | Individual |
| Full Name | MIKA MATSUMOTO |
| Practice Address |
5121 Stockdale Hwy Ste 200 Bakersfield CA 93309-2664 |
| Mailing Address |
4194 Pinewood Lake Dr Bakersfield CA 93309-9307 |
| Practice Telephone | 6614731500 |
| Mailing Telephone | 6618897070 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | VN290257 | CA | Nursing Service Providers |
| Street Address |
5121 STOCKDALE HWY STE 200 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437409596 | Gerald Albert Dawson | Counselor | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2012-09-17 |
| 1700487519 | Elizabeth Montelongo | Peer Specialist | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2020-11-06 |
| 1063043149 | Dolores Marie Saucedo | Specialist | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2020-01-28 |
| 1801433412 | Guadalupe Juarez | Counselor | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2019-12-02 |
| 1861048746 | Nancy Puentes | Marriage & Family Therapist | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2019-08-15 |
| 1487140927 | Rhonda Sue Ince | Student in an Organized Health Care Education/Training Program | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2018-07-09 |
| 1740782747 | Nadia Redick | Licensed Vocational Nurse | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2018-03-06 |
| 1316467103 | Karen Ann Dailey | Licensed Vocational Nurse | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2017-06-22 |
| 1952706855 | Stephanie Luff | Counselor | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2014-11-04 |
| 1215281589 | Dinafay Crandell | Marriage & Family Therapist | 5121 Stockdale Hwy Ste 200, Bakersfield, CA 93309-2664 | 2012-11-07 |
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225306152 | Chrystal Lanette Grimes | Licensed Practical Nurse | 1600 Hurrle St, Bakersfield, CA 93308-2409 | 2011-12-06 |
| 1114569241 | Guadalupe Chavez | Licensed Practical Nurse | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2019-10-09 |
| 1184171183 | Premila Thomas | Licensed Practical Nurse | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2016-09-07 |
| 1609184332 | Michelle Leigh Brown | Licensed Practical Nurse | 1415 Truxtun Ave, Bakersfield, CA 93301-5215 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
| 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.