Myanne Jamlig Nepomuceno, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A129439 Issued in CA

Practice address

500 40TH St
Bakersfield, CA 93301-1224

Phone

(661) 327-3784

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
• Direct secure messaging: mnepomuceno66464@valleychildrens-prd.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744
  Medicare reassignment NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pixley, CA
  • NPI 1033661558
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Goshen, CA
  • NPI 1336237072
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Springville, CA
  • NPI 1386738177
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Terra Bella, CA
  • NPI 1831520048
  NPD
• Valley Children'S Primary Care Group, Inc.

  • Pediatrics Physician
  • Bakersfield, CA
  • NPI 1760877245
  NPD
• Sierra View Local Health Care District

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1225310576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 40TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011224",
            "telephone_number": "661-327-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "MYANNE",
        "middle_name": "JAMLIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A129439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Nelson, FNP-C
• Michael Kurt Nelson, CPO
• Sharon D Nelson, M.A., MFT INTERN
• Thomas D Nelson, DPM
• Nephrology Medical Group of Bakersfield Inc
• Gerhomar Campantero Neri, COTA/L
• Stephanie Neri
• Abraham Nesheiwat
• Edward Job Nesheiwat
• Amy Diane Nester

• Pediatrics Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.

Verify at the official NPI Registry.