Individual provider Active NPI

Jacob Christopher Rosales, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1053018549
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024100 Issued in CA
Practice address
8329 Brimhall Rd Ste 804
Bakersfield, CA 93312-4386
Phone
(661) 431-1555
Fax
(661) 812-1697
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024100 CA Primary

Addresses

Primary practice location

8329 Brimhall Rd Ste 804
Bakersfield, CA 93312-4386

Mailing address

11818 Ludwig LN
Bakersfield, CA 93311-2495
Phone (559) 978-0619

Other practice location 1

6077 Coffee Rd Ste 4
Bakersfield, CA 93308-9417
Phone (661) 463-6804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95024100CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Lighter Way Psychiatric Nursing PC Psychiatric/Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

6077 Coffee Rd
Ste 4
Bakersfield, CA 93308
Phone (661) 326-6616

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1053018549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 LUDWIG LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933112495",
            "telephone_number": "559-978-0619",
            "fax_number": "661-381-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL RD STE 804",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124386",
            "telephone_number": "661-431-1555",
            "fax_number": "661-812-1697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6077 Coffee Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933089417",
            "country_code": "US",
            "telephone_number": "661-463-6804",
            "fax_number": "661-812-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JACOB",
        "middle_name": "CHRISTOPHER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.