Active NPI
Deepak Sharma
- Family Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1073338471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95033060
- Practice address
- 9915 Mulligan CT
Bakersfield, CA 93311-9542 - Phone
- (661) 556-3144
- NPI assigned
- Nov 20, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95033060 | CA | Primary |
Addresses
Primary practice location
9915 Mulligan CT
Bakersfield, CA 93311-9542
Mailing address
9915 Mulligan CT
Bakersfield, CA 93311-9542
Phone (661) 556-3144
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251112004209 | CA | Order and Referring Only - Nurse Practitioner | 5991296428 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033060 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1073338471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 MULLIGAN CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119542",
"telephone_number": "661-556-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 MULLIGAN CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119542",
"telephone_number": "661-556-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "DEEPAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-20",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95033060",
"primary": true
}
],
"identifiers": [],
"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 Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.