Individual provider Active NPI

Cedric Harbert, LVN

  • Licensed Vocational Nurse
  • Bakersfield, CA
National Provider Identifier
1255501912
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
207368 Issued in CA
Practice address
1505 Wells Ave # C
Bakersfield, CA 93308-2410
Phone
(661) 675-6770
NPI assigned
Mar 8, 2008
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 207368 CA Primary

Addresses

Primary practice location

1505 Wells Ave # C
Bakersfield, CA 93308-2410

Mailing address

1505 Wells Ave # C
Bakersfield, CA 93308-2410
Phone (661) 675-6770

Other practice location 1

38713 Tierra Subida Ave
200-185
Palmdale, CA 93551-4562
Phone (661) 860-2162

Other identifiers 1

IdentifierTypeStateIssuer
1255501912OtherHARBERT NURSING & PERSONAL CARE SERVICES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
207368CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care N Compassion LLC Current Accepting new patients
Harbert Nursing & Personal Care Services Current Accepting new patients
Direct Care Medical Respite Inc. Past Accepting new patients

Organizations & group practices 3

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": "1204934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1255501912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WELLS AVE # C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933082410",
            "telephone_number": "661-675-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WELLS AVE # C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933082410",
            "telephone_number": "661-675-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38713 Tierra Subida Ave",
            "address_2": "200-185",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514562",
            "country_code": "US",
            "telephone_number": "661-860-2162",
            "fax_number": "661-233-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBERT",
        "first_name": "CEDRIC",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "207368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARBERT NURSING & PERSONAL CARE SERVICES",
            "identifier": "1255501912",
            "state": null
        }
    ],
    "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 Jun 16, 2018; 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.