Individual provider Active NPI

Cole Landon, PA-C

  • Trauma Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1184286957
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
1467795161 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
Jul 2, 2019
Last updated
May 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X PA-2091 ID
Trauma Surgery Physician 2086S0127X 1467795161 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

2825 W 1700 N
Idaho Falls, ID 83402
Phone (801) 472-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191227001506 CA Practitioner - Physician Assistant 8527492594 Reassigns benefits to 1 organization
I20220511001918 ID Practitioner - Physician Assistant 8527492594 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57080CAMDGeneral Practice Dentistry
1467795161CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group Multi-Specialty CurrentSince Feb 4, 2022 Accepting new patients
Kern County Hospital Authority Multi-Specialty CurrentSince Nov 5, 2019 Accepting new patients
Just 4 Kids Pediatrics Multi-Specialty CurrentSince Dec 8, 2024 Accepting new patients
Kern County Hospital Authority Multi-Specialty CurrentSince Nov 5, 2019 Accepting new patients
Ma Bo Inc Multi-Specialty CurrentSince Oct 18, 2023 Accepting new patients
Urgent Care Associates PLLC Multi-Specialty Current Accepting new patients
Mountain View Hospital LLC Multi-Specialty CurrentSince Jun 27, 2022 Accepting new patients
Community Care Multi-Specialty Current Accepting new patients
Sterling Provider Group Multi-Specialty CurrentSince Feb 4, 2022 Accepting new patients
Cristina Leon, DO PA Multi-Specialty PastSince Jul 19, 2020 Accepting new patients

Locations

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

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

3067 Eagle Dr
Ammon, ID 83406
Phone (208) 522-4600

1555 W Shoreline Dr
Ste 100
Boise, ID 83702
Phone (206) 953-3708

1645 Pancheri Dr
Idaho Falls, ID 83402
Phone (208) 227-1460

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2375 Coronado St
Idaho Falls, ID 83404
Phone (208) 522-4600

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

Interoperability endpoints

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

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1184286957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 W 1700 N",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "801-472-3154"
        },
        {
            "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": "LANDON",
        "first_name": "COLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ID",
            "license": "PA-2091",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "1467795161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.