Individual provider Active NPI

Bernadette Lourdes Torres Pua, NP

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1114320652
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95019689 Issued in CA
Practice address
5320 Carrington Cir
Stockton, CA 95210-3515
Phone
(209) 473-3004
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95019689 CA Primary

Addresses

Primary practice location

5320 Carrington Cir
Stockton, CA 95210-3515

Mailing address

10037 Fairweather Dr
Stockton, CA 95219-7028
Phone (209) 373-3907

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
I20221104000624 CA Practitioner - Nurse Practitioner 2062889082 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caremed Medical GroupGroup PAC ID 8426499419, 5 clinicians
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians
Healwell Management LLCGroup PAC ID 6103395686, 8 clinicians

Practice addresses (Care Compare)

1805 N California St
Suite 303
Stockton, CA 95204-6033
Phone (209) 888-4340

2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

640 S San Vicente Blvd
Suite 442
Los Angeles, CA 90048-4696
Phone (469) 809-4979

Hospital & facility affiliations

  • Global Healthcare Services, LLC Home health agency, Modesto, CA, CCN 059210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95019689CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Medical Group CurrentSince Mar 1, 2026 Accepting new patients
Sharwin Tafazoli Inc CurrentSince Apr 5, 2025 Accepting new patients
Altea Medical California PC CurrentSince Jun 3, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Mar 17, 2025 Accepting new patients
Cal Kidney Care Inc CurrentSince Mar 1, 2026 Accepting new patients
Myndfull Care Management California PC CurrentSince Dec 1, 2022 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

1805 N California St
Ste 303
Stockton, CA 95204
Phone (209) 888-4340

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

5320 Carrington Cir
Stockton, CA 95210
Phone (209) 473-3004

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0875

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648

Organizations & group practices 7

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1114320652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10037 FAIRWEATHER DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197028",
            "telephone_number": "209-373-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 CARRINGTON CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103515",
            "telephone_number": "209-473-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUA",
        "first_name": "BERNADETTE LOURDES",
        "middle_name": "TORRES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95019689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.