Individual provider Active NPI

Even Moonga

  • Family Nurse Practitioner
  • Delano, CA
National Provider Identifier
1194193938
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003417 Issued in CA
Practice address
1508 Garces Hwy Ste 1
Delano, CA 93215-3687
Phone
(661) 725-4780
Fax
(661) 725-1048
NPI assigned
Sep 10, 2015
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003417 CA Primary

Addresses

Primary practice location

1508 Garces Hwy Ste 1
Delano, CA 93215-3687

Mailing address

PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050

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
I20160308002806 CA Practitioner - Nurse Practitioner 6507162146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

912 Fremont St
Delano, CA 93215-2713
Phone (866) 707-6664

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003417CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Jun 7, 2021 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince Jan 28, 2016 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince Jan 28, 2016 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Jun 7, 2021 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health Past Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1001 Main St
Delano, CA 93215
Phone (661) 302-1463

1215 Jefferson St
Delano, CA 93215
Phone (661) 302-1463

912 Fremont St
Delano, CA 93215
Phone (661) 459-1974

2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Interoperability endpoints

  • Direct secure messaging: even.moonga.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1194193938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-635-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 GARCES HWY STE 1",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153687",
            "telephone_number": "661-725-4780",
            "fax_number": "661-725-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONGA",
        "first_name": "EVEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.