Individual provider Active NPI

Anja Mejia

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1073198347
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018254 Issued in CA
Practice address
5401 White LN
Bakersfield, CA 93309-6279
Phone
(661) 396-7100
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95138382 CA
Family Nurse Practitioner 363LF0000X 95018254 CA Primary

Addresses

Primary practice location

5401 White LN
Bakersfield, CA 93309-6279

Mailing address

4809 Show Horse Dr
Bakersfield, CA 93312-5112
Phone (661) 364-3132

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
I20220204000953 CA Practitioner - Nurse Practitioner 4486047966 Reassigns benefits to 2 organizations

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
Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 396-7100

Hospital & facility affiliations

  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018254CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Nephrology Medical Group of Bakersfield Inc CurrentSince Jan 1, 2022 Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Jan 1, 2022 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

5400 Aldrin Ct
Bakersfield, CA 93313
Phone (661) 735-8867

611 Airport Dr
Bakersfield, CA 93308
Phone (661) 556-4777

5401 White Ln
#A
Bakersfield, CA 93309
Phone (661) 557-4189

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

143 W Kern Ave
Mc Farland, CA 93250
Phone (661) 310-1002

23 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 617-0091

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1073198347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 SHOW HORSE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125112",
            "telephone_number": "661-364-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-396-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "ANJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95138382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.