Active NPI
Pamela Idella Smith, RN, MSN, FNP
- Family Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1114221785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 20310
- Practice address
- 3838 San Dimas St
B-231
Bakersfield, CA 93301-2284 - Phone
- (661) 665-0505
- Fax
- (661) 665-7844
- NPI assigned
- Dec 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 20310 | CA | Primary |
Addresses
Primary practice location
3838 San Dimas St
B-231
Bakersfield, CA 93301-2284
Mailing address
4550 Califonia Ave.
Ste. 500
Bakersfield, CA 93309
Phone (661) 716-3484
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
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20310 | CA | MD | Obstetrics & Gynecology Physician |
| NP 20310 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion and Clinical Services, Inc | Current | Accepting new patients | |
| Infusion and Clinical Services, Inc. | Current | Accepting new patients |
Locations
901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500
5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100
5400 Aldrin Ct
Bakersfield, CA 93313
Phone (661) 735-8867
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Bakersfield, CA
- NPI 1083952857
-
- Family Medicine Physician
- Santa Barbara, CA
- NPI 1922486406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1114221785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 CALIFONIA AVE.",
"address_2": "STE. 500",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93309",
"telephone_number": "661-716-3484",
"fax_number": "661-716-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SAN DIMAS ST",
"address_2": "B-231",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012284",
"telephone_number": "661-665-0505",
"fax_number": "661-665-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAMELA",
"middle_name": "IDELLA",
"name_prefix": "Ms.",
"credential": "RN, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 20310",
"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 31, 2014; 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.