Mara Bactad, FNP-CB

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021647 Issued in CA

Practice address

1371 Concha St
Oxnard, CA 93030-5433

Phone

(805) 824-4030

NPI assigned

Jul 17, 2022

Last updated

Jul 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Karandeep Singh MD PCGroup PAC ID 3577704352, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGFBDD
• FHIR API: https://fhir4.healow.com/fhir/r4/IGFBDD/Endpoint/IGFBDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karandeep Singh, MD PC

  • Cardiovascular Disease Physician
  • Oxnard, CA
  • NPI 1487991576
  Medicare reassignment Care Compare group NPD
• Stephen S. Hong, M.D., a Professional Corp.

  • Cardiovascular Disease Physician
  • Oxnard, CA
  • NPI 1508175654
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mission Home Health of Ventura LLC

  • Home Health Agency
  • Oxnard, CA
  • NPI 1871965970
  Care Compare affiliation

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1164157913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 CONCHA ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305433",
            "telephone_number": "805-824-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 CONCHA ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305433",
            "telephone_number": "805-824-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACTAD",
        "first_name": "MARA",
        "credential": "FNP-CB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mary Babineau, MSW
• Kathleen Judith Baca Leanos
• Myhang Bach, PHARMACIST
• Keegan Bachelor
• Tamara Lynn Backer, M.S. CCC-SLP
• Gabriela Baez
• Sinthia A Baez
• Elisabet Bafverfeldt, D.D.S
• Amirhossein Bahador
• Atiya Bahmanyar, D.D.S.

• Family Nurse Practitioner in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.