Individual provider Active NPI

Virginia Gifford, NP

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1033208459
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17400 Issued in CA
Practice address
3400 Calloway Dr
Suite 200
Bakersfield, CA 93312-2513
Phone
(661) 410-7546
Fax
(661) 410-7547
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17400 CA Primary

Addresses

Primary practice location

3400 Calloway Dr
Suite 200
Bakersfield, CA 93312-2513

Mailing address

3400 Calloway Dr
Suite 200
Bakersfield, CA 93312-2513
Phone (661) 410-7546

Other identifiers 1

IdentifierTypeStateIssuer
RN2810130OtherCAMEDI-CAL

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
I20081213000259 CA Practitioner - Physician Assistant 7810059508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ana Cardenas Dermatology a Professional CorporationGroup PAC ID 6507892247, 5 clinicians

Practice addresses (Care Compare)

3400 Calloway Dr
Bakersfield, CA 93312-2513
Phone (661) 410-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.32 of 100Reported as group
Quality
70.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17400CAMDAcupuncturist
PA17400CAMDPhysician Assistant

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1033208459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7546",
            "fax_number": "661-410-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7546",
            "fax_number": "661-410-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "VIRGINIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "RN2810130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.