Individual provider Active NPI

Danessa Thorbrogger, NP-C

  • Nurse Practitioner
  • Shafter, CA
National Provider Identifier
1265958235
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006735 Issued in CA
Practice address
565 Kern Street
Shafter, CA 93263
Phone
(661) 746-4937
NPI assigned
Aug 21, 2017
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 95006735 CA Primary

Addresses

Primary practice location

565 Kern Street
Shafter, CA 93263

Mailing address

565 Kern Street
Shafter, CA 93263
Phone (661) 746-4937

Other names 1

  • Mrs. Danessa Westfahl Former name

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
I20180508000226 CA Practitioner - Nurse Practitioner 2860756459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Medical CorporationGroup PAC ID 4587881685, 23 clinicians

Practice addresses (Care Compare)

565 Kern St
Shafter, CA 93263-2133
Phone (661) 746-4937

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Corporation CurrentSince Mar 31, 2018 Accepting new patients
Vanguard Medical Corporation CurrentSince Mar 31, 2018 Accepting new patients
Vanguard Medical Corporation Current Accepting new patients
Jae J. Kim, M.D. Past Accepting new patients

Locations

8150 Hageman Rd
Bakersfield, CA 93312
Phone (661) 459-1010

565 Kern St
Shafter, CA 93263
Phone (661) 746-4937

845 7th St
Wasco, CA 93280
Phone (661) 459-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1265958235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 KERN STREET",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "93263",
            "telephone_number": "661-746-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 KERN STREET",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "93263",
            "telephone_number": "661-746-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORBROGGER",
        "first_name": "DANESSA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANESSA",
            "last_name": "WESTFAHL",
            "prefix": "MRS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shafter, CA

Sources for this page

Verify at the official NPI Registry.