Active NPI
Anamika Shukla, P.A.
- Physician Assistant
- Bakersfield, CA
National Provider Identifier
1184895468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-C16816
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PA168160 | Other | CA | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141125000861 | CA | Order and Referring Only - Physician Assistant | 7113249335 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16816 | CA | MD | Physical Therapist |
| PA-C16816 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Oaks Medical Group Inc | Past | 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.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1083328587
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.