Active NPI
Sojourner Lynn Bixler
- Nurse Practitioner
- Murrieta, CA
National Provider Identifier
1104485580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95017491
- Practice address
- 39765 Date St
Murrieta, CA 92563-2005 - Phone
- (951) 894-4665
- Fax
- (951) 894-5178
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP140783 | TX | |
| Nurse Practitioner | 363L00000X | 95017491 | CA | Primary |
Addresses
Primary practice location
39765 Date St
Murrieta, CA 92563-2005
Mailing address
39765 Date St
Murrieta, CA 92563-2005
Phone (951) 894-4665
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017491 | CA | MD | Nurse Practitioner |
| AP140783 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Crossing Corporation | Current | Accepting new patients |
Locations
39765 Date St
Ste 102
Murrieta, CA 92563
39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100
Interoperability endpoints
- sojourner.bixler.1@10674.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Tri Valley Internal Medicine Group
- Internal Medicine Physician
- Murrieta, CA
- NPI 1518953298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1104485580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39765 DATE ST",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39765 DATE ST",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIXLER",
"first_name": "SOJOURNER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP140783",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95017491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.