MR. KENNETH ADRIAN BLANCO REDON (NPI# 1528531274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528531274 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ADRIAN BLANCO REDON |
| Credential | FNP |
| Practice Address |
5400 Aldrin Ct Bakersfield CA 93313-2103 |
| Mailing Address |
2415 Rinconada Dr Apt 14 San Jose CA 95125-2827 |
| Practice Telephone | 6614895999 |
| Mailing Telephone | 4159647441 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
219805 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1751 N Litchfield Rd Apt 2157, Goodyear, AZ 853952264 | 4152440094 |
| Street Address |
5400 ALDRIN CT |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93313-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891805610 | Carlos A Alvarez | Internal Medicine | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2006-08-30 |
| 1487141677 | Gesselle Flores | Nurse Practitioner | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2018-04-13 |
| 1932606167 | Ramon Mansilungan | Nurse Practitioner | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2018-04-13 |
| 1285145409 | Julius Batac Sanchez | Nurse Practitioner | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2017-10-15 |
| 1699294801 | Josephine Vargas Hernandez | Family Medicine | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2017-09-19 |
| 1780122960 | Dr Alvarez | Nurse Practitioner | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2017-02-07 |
| 1184171183 | Premila Thomas | Licensed Practical Nurse | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2016-09-07 |
| 1467813873 | Gurmant P Singh Md Inc | Clinic/Center | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2016-03-11 |
| 1851777361 | Scott Huhn | Counselor | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2015-08-06 |
| 1861832008 | Joshua R. Modlin Dpm | Podiatrist | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189298 | Simran Randhawa | Behavioral Analyst | 4707 Whitegate Ave, Bakersfield, CA 93313 | 2018-06-27 |
| 1700233954 | Ramandeep Brar | Registered Nurse | 5121 Stockdale Hwy #275, Bakersfield, CA 93313 | 2016-05-18 |
| 1568859932 | Carepharm Pharmacy | Pharmacy | 4700 Panama Ln Unit 116, Bakersfield, CA 93313 | 2015-04-23 |
| 1174887947 | Kiranjeet Loewen | Family Medicine | 4821 Panama Ln, Ste A-c, Bakersfield, CA 93313 | 2012-06-26 |
| 1215296074 | Eleanore S. Cruz D.d.s. Inc. | Dentist | 4004 Panama Lane, Suite 500, Bakersfield, CA 93313 | 2012-05-14 |
| 1245516533 | Crystal Nichole Moorman | Licensed Vocational Nurse | 3715 Ridgemont St, Bakersfield, CA 93313 | 2011-10-31 |
| 1124300314 | Nirav Subhashchandra Shukla | Pharmacist | 3301 Panama Lane, Bakersfield, CA 93313 | 2011-09-13 |
| 1316234941 | Yadwinder Singh Kang | Family Medicine | 6515 Panama Ln, Bakersfield, CA 93313 | 2011-07-04 |
| 1073642484 | Ruby Delana Varela | Social Worker | 4151 Mexicali Dr, Bakersfield, CA 93313 | 2007-03-02 |
| 1649308677 | Erin Michelle Salyer | Social Worker | 6313 Schirra Court, Suite 1, Bakersfield, CA 93313 | 2007-03-01 |
| Find all providers in zip 93313 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456835 | Erin Marie Eddy | Nurse Practitioner | 10104 Glenn St, Bakersfield, CA 93312-2763 | 2020-08-10 |
| 1306454640 | Amandeep Dhillon | Nurse Practitioner | 14909 Brockbank Ave, Bakersfield, CA 93314-4307 | 2020-07-22 |
| 1962022160 | Laura Ellen Levingston | Nurse Practitioner | 2108 Dean Ave, Bakersfield, CA 93312-2728 | 2020-04-17 |
| 1386278927 | Durish Ann Adan Dorotheo | Nurse Practitioner | 8307 Brimhall Rd Ste 1702, Bakersfield, CA 93312-4343 | 2020-02-22 |
| 1336772615 | April Elizabeth Cooper | Nurse Practitioner | 1500 Haggin Oaks Blvd Ste 100, Bakersfield, CA 93311-1333 | 2020-02-14 |
| 1831739226 | Christine Crisostomo | Nurse Practitioner | 500 Windsor Park Dr, Bakersfield, CA 93311-3586 | 2020-01-14 |
| 1215586870 | Marissa Perez Hernandez | Nurse Practitioner | 4000 Physicians Blvd Ste 211, Bakersfield, CA 93301-1284 | 2019-09-06 |
| 1053969212 | Oliver Ranin | Nurse Practitioner | 9709 Swansboro Way, Bakersfield, CA 93314-8081 | 2019-08-30 |
| 1871155481 | Kathlene Mateo Hilario | Nurse Practitioner | 5055 California Ave Ste 340, Bakersfield, CA 93309-1993 | 2019-07-03 |
| 1538729074 | Dipali Desai | Nurse Practitioner | 11719 Christmas Rose Dr, Bakersfield, CA 93311-2187 | 2019-06-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93313 |
Please comment or provide details below to improve the information on MR. KENNETH ADRIAN BLANCO REDON.
| 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.