Individual provider Active NPI

Malvin U Pallomina, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1265870760
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 22947 Issued in CA
Practice address
2811 H St
Bakersfield, CA 93301-1913
Phone
(661) 325-7000
Fax
(661) 325-7050
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 NP 22947 CA Primary

Addresses

Primary practice location

2811 H St
Bakersfield, CA 93301-1913

Mailing address

2811 H St
Bakersfield, CA 93301-1913
Phone (661) 325-7000

Other identifiers 2

IdentifierTypeStateIssuer
NP 22947OtherCABOARD OF REGISTERED NURSING
NPF 22947OtherCABOARD OF REGISTERED NURSING, FURNISHING NUMBER

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 22947CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1265870760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011913",
            "telephone_number": "661-325-7000",
            "fax_number": "661-325-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011913",
            "telephone_number": "661-325-7000",
            "fax_number": "661-325-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLOMINA",
        "first_name": "MALVIN",
        "middle_name": "U",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 22947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "NP 22947",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING, FURNISHING NUMBER",
            "identifier": "NPF 22947",
            "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 Jun 6, 2013; 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.