Active NPI
Bernadette Georgette Letsa, NP
- Family Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95018123
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP95018123 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Clinics of Central California, Inc. | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.