Active NPI
Susana Carranza
- Community Health Worker
- Bakersfield, CA
National Provider Identifier
1003622945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4550 California Ave Ste 310
Bakersfield, CA 93309-7020 - Phone
- (661) 501-3414
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
4550 California Ave Ste 310
Bakersfield, CA 93309-7020
Mailing address
1000 N Alameda St
Los Angeles, CA 90012-1804
Phone (661) 501-3414
Other practice location 1
1000 N Alameda St
Los Angeles, CA 90012-1804
Phone (661) 501-3414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1003622945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N ALAMEDA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121804",
"telephone_number": "661-501-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 CALIFORNIA AVE STE 310",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097020",
"telephone_number": "661-501-3414"
}
],
"practiceLocations": [
{
"address_1": "1000 N Alameda St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900121804",
"country_code": "US",
"telephone_number": "661-501-3414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRANZA",
"first_name": "SUSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.