NELSALINA DEBORAH SHABAZZ (NPI# 1972004331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972004331 |
| Entity Type | Individual |
| Full Name | NELSALINA DEBORAH SHABAZZ |
| Credential | LVN |
| Practice Address |
2815 Flint Hills Dr Bakersfield CA 93313-5742 |
| Mailing Address |
4200 Rock Lake Dr Bakersfield CA 93313-5032 |
| Practice Telephone | 3236324370 |
| Mailing Telephone | 3236324370 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 157206943 | Nursing & Custodial Care Facilities |
| Street Address |
2815 FLINT HILLS DR |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93313-5742 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849122 | Pacifica Bakersfield Lp | Assisted Living Facility | 3209 Brookside Dr, Bakersfield, CA 93311-3459 | 2020-10-22 |
| 1962034678 | Tina Malhi | Assisted Living Facility | 3801 Paseo Airosa, Bakersfield, CA 93311-2273 | 2020-02-11 |
| 1134750078 | Brenda Daniels | Assisted Living Facility | 5503 Casa Bonita Dr, Bakersfield, CA 93307-6972 | 2020-01-29 |
| 1548826860 | Catherine Tagulao Clark | Assisted Living Facility | 9320 Cobble Mountain Rd, Bakersfield, CA 93313-5373 | 2019-05-13 |
| 1952872533 | Prolan Robles Fandialan | Assisted Living Facility | 9706 Harvey Ct, Bakersfield, CA 93312-2829 | 2018-12-07 |
| 1639667785 | Barbara Zapata | Assisted Living Facility | 10005 Cobblestone Ave, Bakersfield, CA 93311-9396 | 2018-04-24 |
| 1013430255 | Senior Lifestyle Homes | Assisted Living Facility | 15318 Lila Rose Ct, Bakersfield, CA 93314-5243 | 2017-07-19 |
| 1063942647 | Heritage | Assisted Living Facility | 10411 Blythe Ct, Bakersfield, CA 93311-9681 | 2017-06-15 |
| 1639602154 | Tru Vision LLC | Assisted Living Facility | 10615 Polo Glen Dr, Bakersfield, CA 93312-8619 | 2017-04-11 |
| 1598114217 | Sage Care Home, LLC. | Assisted Living Facility | 13519 Night Star Ln, Bakersfield, CA 93314-9891 | 2016-06-03 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93313 |
Please comment or provide details below to improve the information on NELSALINA DEBORAH SHABAZZ.
| 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.