Individual provider Active NPI

Manju Bhalla

  • Primary Care Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1073990859
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95001362 Issued in CA
Practice address
4900 Commerce Dr
Bakersfield, CA 93309-0418
Phone
(661) 395-0900
Fax
(661) 395-0700
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95001362 CA
Primary Care Nurse Practitioner 363LP2300X 95001362 CA Primary

Addresses

Primary practice location

4900 Commerce Dr
Bakersfield, CA 93309-0418

Mailing address

PO Box 21345
Bakersfield, CA 93390-1345
Phone (661) 316-6000

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
I20190814002885 CA Practitioner - Nurse Practitioner 8628305547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Aid Urgent Care IncGroup PAC ID 1951807304, 4 clinicians

Practice addresses (Care Compare)

2611 S H St
Suite C
Bakersfield, CA 93304-5614
Phone (661) 741-0990

Hospital & facility affiliations

  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95001362CAMDFamily Nurse Practitioner
95001362CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paramvir S. Rahal MD, Inc CurrentSince May 16, 2019 Accepting new patients
Fast Aid Urgent Care Inc CurrentSince Sep 25, 2025 Accepting new patients
Fast Aid Urgent Care Inc CurrentSince Jan 4, 2026 Accepting new patients
Paramvir S Rahal MD Inc CurrentSince May 16, 2019 Accepting new patients
Parikshat Sharma Inc PastSince Jul 24, 2022 Accepting new patients

Locations

2611 S H St
Ste C
Bakersfield, CA 93304
Phone (661) 741-0990

9802 Stockdale Hwy
Ste 102
Bakersfield, CA 93311
Phone (661) 323-1200

1205 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 721-1200

Organizations & group practices 5

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1073990859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21345",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901345",
            "telephone_number": "661-316-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COMMERCE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090418",
            "telephone_number": "661-395-0900",
            "fax_number": "661-395-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "MANJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95001362",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95001362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.