Individual provider Active NPI

Mitchell C Emeahu, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1053905901
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016989 Issued in CA
Practice address
4600 Panama LN Unit 102B
Bakersfield, CA 93313-3511
Phone
(866) 707-6664
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 95016989 CA Primary

Addresses

Primary practice location

4600 Panama LN Unit 102B
Bakersfield, CA 93313-3511

Mailing address

4600 Panama LN
Bakersfield, CA 93313-3509

Other practice location 1

304 Administration Dr
Denton, TX 76204-5589
Phone (940) 898-2000

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
I20210908001621 CA Practitioner - Nurse Practitioner 9335545870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
SC Medical, Inc.Group PAC ID 6305001439, 10 clinicians

Practice addresses (Care Compare)

111 S Westlake Blvd
Suite 110
Westlake Village, CA 91362-3807
Phone (805) 557-8177

14550 Soledad Canyon Rd
Suite 100
Canyon Country, CA 91387-2200
Phone (661) 488-7402

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

19042 Soledad Canyon Rd
Santa Clarita, CA 91351-3362
Phone (661) 251-6300

25548 The Old Rd
Suite U1
Stevenson Ranch, CA 91381-1705
Phone (661) 556-9020

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016989CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC Medical, Inc. CurrentSince May 7, 2023 Accepting new patients
Exer Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
SC Medical, Inc. CurrentSince May 7, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 1, 2022 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 1, 2022 Accepting new patients
Omni Family Health PastSince Nov 9, 2021 Accepting new patients
Omni Family Health PastSince Nov 9, 2021 Accepting new patients

Locations

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

25548 The Old Rd
Unit 1
Stevenson Ranch, CA 91381

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

27550 Newhall Ranch Rd
Ste 203
Valencia, CA 91355
Phone (661) 251-6300

Organizations & group practices 7

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1053905901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 PANAMA LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 PANAMA LN UNIT 102B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133511",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Administration Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762045589",
            "country_code": "US",
            "telephone_number": "940-898-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMEAHU",
        "first_name": "MITCHELL",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.