Individual provider Active NPI

Nefretiri Bargola Abat, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hayward, CA
National Provider Identifier
1184324014
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024411 Issued in CA
Practice address
21297 Foothill Blvd, Unit 203,
Hayward, CA 94541
Phone
(650) 440-0599
NPI assigned
Mar 8, 2023
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024411 CA Primary

Addresses

Primary practice location

21297 Foothill Blvd, Unit 203,
Hayward, CA 94541

Mailing address

21297 Foothill Blvd, Unit 203,
Hayward, CA 94541
Phone (650) 440-0599

Other practice location 1

24301 Southland Dr Ste 600
Hayward, CA 94545-1554
Phone (415) 474-7310

Other names 1

  • Mrs. Nefretiri Jurado Bargola-Abat Former name

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
I20230906002309 CA Practitioner - Nurse Practitioner 8921462110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21297 Foothill Blvd
Suite 203
Cherryland, CA 94541-1554
Phone (415) 636-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024411CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Operating Company, LLC CurrentSince Jan 10, 2024 Accepting new patients
Port City Operating Company, LLC CurrentSince Jan 10, 2024 Accepting new patients
Port City Operating Company, LLC Current Accepting new patients
Felton Institute PastSince Mar 12, 2023 Accepting new patients
Felton Institute PastSince Jul 8, 2023 Accepting new patients

Locations

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

510 E Magnolia St
Ste 100
Stockton, CA 95202
Phone (209) 938-0831

Interoperability endpoints

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

Organizations & group practices 6

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1184324014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD, UNIT 203,",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "650-440-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD, UNIT 203,",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "650-440-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24301 Southland Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945451554",
            "country_code": "US",
            "telephone_number": "415-474-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABAT",
        "first_name": "NEFRETIRI",
        "middle_name": "BARGOLA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEFRETIRI",
            "last_name": "BARGOLA-ABAT",
            "middle_name": "JURADO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.