Individual provider Active NPI

Jesus Macanas Jr., NP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1174037428
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007945 Issued in CA
Practice address
4500 Morning Dr
Bakersfield, CA 93306-7275
Phone
(661) 323-8477
NPI assigned
Nov 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 95007945 CA Primary

Addresses

Primary practice location

4500 Morning Dr
Bakersfield, CA 93306-7275

Mailing address

3801 San Dimas St
Bakersfield, CA 93301-5731
Phone (661) 323-8477

Other practice location 1

3801 San Dimas St
Bakersfield, CA 93301-5731
Phone (661) 323-8477

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
I20180131002437 CA Practitioner - Nurse Practitioner 9133489610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

2701 Chester Ave
Bakersfield, CA 93301-2016

4531 Buena Vista Rd
Bakersfield, CA 93311-8794

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007945CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Jan 8, 2020 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
San Joaquin Community Hospital CurrentSince Jan 8, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2025 Accepting new patients

Locations

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

1201 Jefferson St
Delano, CA 93215
Phone (661) 721-0737

1201 Jefferson St
Ste A
Delano, CA 93215

Organizations & group practices 4

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": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174037428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015731",
            "telephone_number": "661-323-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MORNING DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067275",
            "telephone_number": "661-323-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 San Dimas St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933015731",
            "country_code": "US",
            "telephone_number": "661-323-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACANAS",
        "first_name": "JESUS",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.