Individual provider Active NPI

Ramona Elizondo, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1104955384
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93394 Issued in CA
Practice address
1015 Baker St # 4
Bakersfield, CA 93305-4341
Phone
(661) 328-4283
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A910000 CA
Marriage & Family Therapist 106H00000X 93394 CA Primary

Addresses

Primary practice location

1015 Baker St # 4
Bakersfield, CA 93305-4341

Mailing address

1015 Baker St # 4
Bakersfield, CA 93305-4341
Phone (661) 328-4283

Other names 1

  • Ramona Hernandez Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207003135 CA Practitioner - Marriage and Family Therapist 6608219589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1015 Baker St
Suite 4
Bakersfield, CA 93305-4341
Phone (661) 328-4283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A910000CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jan 24, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Mar 7, 2021 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 24, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista PastSince Jun 7, 2020 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100
Bakersfield, CA 93301

1400 S Union Ave
Ste 100
Bakersfield, CA 93307
Phone (661) 397-8775

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1104955384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BAKER ST # 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054341",
            "telephone_number": "661-328-4283",
            "fax_number": "661-843-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BAKER ST # 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054341",
            "telephone_number": "661-328-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "RAMONA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A910000",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "HERNANDEZ",
            "credential": "M.S., CADC II, MFT-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.