Individual provider Active NPI

Bernadette Georgette Letsa, NP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1023780822
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95018123 Issued in CA
Practice address
8257 Gypsy Star Way
Sacramento, CA 95829-6109
Phone
(909) 241-6053
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95018123 CA Primary

Addresses

Primary practice location

8257 Gypsy Star Way
Sacramento, CA 95829-6109

Mailing address

8257 Gypsy Star Way
Sacramento, CA 95829-6109
Phone (909) 241-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000254 CA Practitioner - Nurse Practitioner 0244601912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Clinics of Central California, Inc.Group PAC ID 0244615086, 19 clinicians

Practice addresses (Care Compare)

4505 Precissi LN
Suite a
Stockton, CA 95207-6240
Phone (833) 478-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95018123CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinics of Central California, Inc. CurrentSince Nov 1, 2022 Accepting new patients

Locations

4605 Buena Vista Rd
Ste 600815
Bakersfield, CA 93311

3751 E Shields Ave
Fresno, CA 93726
Phone (559) 272-1295

3793 E Shields Ave
Fresno, CA 93726
Phone (833) 478-1818

1801 Tully Rd
Ste F
Modesto, CA 95350
Phone (209) 526-5770

1317 Oakdale Rd
Ste 800
Modesto, CA 95355
Phone (209) 284-0729

1130 Coffee Rd
Bldg 5B
Modesto, CA 95355
Phone (833) 478-1818

4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815

2350 W Whitendale Ave
Visalia, CA 93277
Phone (559) 625-5286

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIFECD/Endpoint/BIFECD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1023780822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 GYPSY STAR WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958296109",
            "telephone_number": "909-241-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8257 GYPSY STAR WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958296109",
            "telephone_number": "909-241-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSA",
        "first_name": "BERNADETTE",
        "middle_name": "GEORGETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95018123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.