Active NPI
Rachel Quezada
- Mastectomy Fitter
- Bakersfield, CA
National Provider Identifier
1053756528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- C49774
- Practice address
- 2624 F St
Bakersfield, CA 93301-1816 - Phone
- (661) 323-5944
- Fax
- (661) 323-2820
- NPI assigned
- May 9, 2013
- 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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | C49774 | CA | Primary |
Addresses
Primary practice location
2624 F St
Bakersfield, CA 93301-1816
Mailing address
2624 F St
Bakersfield, CA 93301-1816
Phone (661) 323-5944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C49774 | Other | CA | BOC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C49774 | CA | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1053756528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 F ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011816",
"telephone_number": "661-323-5944",
"fax_number": "661-323-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 F ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011816",
"telephone_number": "661-323-5944",
"fax_number": "661-323-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "CA",
"license": "C49774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "C49774",
"state": "CA"
}
],
"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 May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.