Individual provider Active NPI

Anamika Shukla, P.A.

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1184895468
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-C16816 Issued in CA
Practice address
9900 Stockdale Hwy Ste 107
Bakersfield, CA 93311-3633
Phone
(661) 664-0600
Fax
(661) 664-0621
NPI assigned
Mar 14, 2008
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-C16816 CA Primary

Addresses

Primary practice location

9900 Stockdale Hwy Ste 107
Bakersfield, CA 93311-3633

Mailing address

PO Box 20160
Bakersfield, CA 93390-0160
Phone (661) 664-0600

Other identifiers 1

IdentifierTypeStateIssuer
0PA168160OtherCALICENSE

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
I20141125000861 CA Order and Referring Only - Physician Assistant 7113249335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16816CAMDPhysical Therapist
PA-C16816CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Oaks Medical Group Inc PastSince Jan 15, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1184895468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900160",
            "telephone_number": "661-664-0600",
            "fax_number": "661-664-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 STOCKDALE HWY STE 107",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113633",
            "telephone_number": "661-664-0600",
            "fax_number": "661-664-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "ANAMIKA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA-C16816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0PA168160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.