Individual provider Active NPI

Florentino Avila Robles, FNP-C

  • Nurse Practitioner
  • Wasco, CA
National Provider Identifier
1245432723
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
588050 Issued in CA
Practice address
701 Scofield Ave
Wasco, CA 93280-7515
Phone
(661) 758-8400
Fax
(661) 758-4187
NPI assigned
Jun 5, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 588050 CA Primary

Addresses

Primary practice location

701 Scofield Ave
Wasco, CA 93280-7515

Mailing address

306 Claudia Autumn Dr
Bakersfield, CA 93314-4766
Phone (661) 331-6248

Other identifiers 1

IdentifierTypeStateIssuer
15268OtherCAFNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15268CAMDClinical Social Worker
588050CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245432723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CLAUDIA AUTUMN DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144766",
            "telephone_number": "661-331-6248",
            "fax_number": "661-758-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SCOFIELD AVE",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807515",
            "telephone_number": "661-758-8400",
            "fax_number": "661-758-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "FLORENTINO",
        "middle_name": "AVILA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "588050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "15268",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.