Individual provider Active NPI

Eleanor Leal

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1174054076
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006239 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006239 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

1700 Mount Vernon Ave
Room 1241
Bakersfield, CA 93306-4018
Phone (661) 326-2220

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
I20170519002250 CA Practitioner - Nurse Practitioner 8729355821 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Centric Health CurrentSince Nov 28, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince May 30, 2017 Accepting new patients
Kern County Hospital Authority CurrentSince May 30, 2017 Accepting new patients
SNF Wound Care CurrentSince Feb 10, 2019 Accepting new patients
Centric Health Current Accepting new patients

Locations

9330 Stockdale Hwy
Ste 300
Bakersfield, CA 93311
Phone (661) 654-0200

3008 Sillect Ave
Ste 180
Bakersfield, CA 93308
Phone (661) 489-4322

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

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

100 Old River Rd
Ste 120
Bakersfield, CA 93311

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1174054076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "ROOM 1241",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "ELEANOR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.