NANCY BANUELOS (NPI# 1932632635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932632635 |
| Entity Type | Individual |
| Full Name | NANCY BANUELOS |
| Credential | RN |
| Practice Address |
4900 California Ave 400b Bakersfield CA 93309-7024 |
| Mailing Address |
4900 California Ave 400b Bakersfield CA 93309-7081 |
| Practice Telephone | 6614591900 |
| Practice Fax Number | 6614591974 |
| Mailing Telephone | 6614591900 |
| Mailing Fax Number | 6614591974 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
612020 | CA | Ambulatory Health Care Facilities |
| Street Address |
4900 CALIFORNIA AVE 400B |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558424887 | Greg Michiro Hirokawa | Psychologist | 4900 California Ave, Suite 210b, Bakersfield, CA 93309-7024 | 2006-12-18 |
| 1801493267 | Douglas R Taylor Sr. | Chiropractor | 4900 California Ave, Bakersfield, CA 93309-7024 | 2020-10-07 |
| 1710537865 | Samra Empire, LLC | In Home Supportive Care | 4900 California Ave, Bakersfield, CA 93309-7024 | 2019-09-19 |
| 1033768171 | Crystal Arroyo | Behavior Technician | 4900 California Ave, Bakersfield, CA 93309-7024 | 2019-09-11 |
| 1003374901 | Janet Elaine Barenchi | Registered Nurse | 4900 California Ave, Bakersfield, CA 93309-7024 | 2019-03-10 |
| 1679031173 | Kara Lynne Shaw | Registered Nurse | 4900 California Ave, Bakersfield, CA 93309-7024 | 2019-03-04 |
| 1255879581 | Holly Bell Canaday | Family Medicine | 4900 California Ave, Suite 400b, Bakersfield, CA 93309-7024 | 2017-02-07 |
| 1396281812 | Halo Dental Center Inc. | Clinic/Center | 4900 California Ave, Tower B #, Bakersfield, CA 93309-7024 | 2017-01-07 |
| 1639627730 | Alicia Maria Schroeder | Nurse Practitioner | 4900 California Ave, Suite 400b, Bakersfield, CA 93309-7024 | 2016-09-17 |
| 1447706429 | Justine Katherine Maala | Nurse Practitioner | 4900 California Ave, Suite 400-b, Bakersfield, CA 93309-7024 | 2016-08-30 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
| 1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
| 1164806410 | Omni Family Health | Clinic/Center | 1022 Calloway Dr, Bakersfield, CA 93312-6337 | 2015-07-16 |
| 1336544790 | Clinica Sierra Vista | Clinic/Center | 705 S Union Ave, Bakersfield, CA 93307-3635 | 2014-10-28 |
| 1851713929 | Omni Family Health | Clinic/Center | 4131 Ming Ave, Bakersfield, CA 93309-4994 | 2014-01-09 |
| 1790128536 | Clinca Sierra Vista | Clinic/Center | 9001 South H Street, Bakersfield, CA 93307 | 2013-04-11 |
| 1780928986 | Omni Family Health | Clinic/Center | 4600 Panama Lane, 102b, Bakersfield, CA 93313-3509 | 2012-11-12 |
| 1942508270 | Clinica Sierra Vista | Clinic/Center | 1125 E California Ave, Bakersfield, CA 93307 | 2011-03-10 |
| 1396879680 | Clinca Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-16 |
| 1073515425 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd, Suite 14, Bakersfield, CA 93304-4700 | 2005-08-15 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on NANCY BANUELOS.
| 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.