Individual provider Active NPI

Debra Bakerjian, PHD, MSN, APRN, FNP

  • Gerontology Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1306872544
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4924 Issued in CA
Practice address
2570 48TH St Ste 2145
Sacramento, CA 95817-1541
Phone
(916) 734-7124
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4924 CA Primary

Addresses

Primary practice location

2570 48TH St Ste 2145
Sacramento, CA 95817-1541

Mailing address

5150 Fair Oaks Blvd # 101-333
Carmichael, CA 95608-5758
Phone (415) 302-9500

Other identifiers 3

IdentifierTypeStateIssuer
4924OtherCANP LICENSE NUMBER
NP0049240MedicaidCA
284559OtherCARN LICENSE NUMBER

Other names 1

  • Debra Priest Former name

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
Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4924CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerihealthsolutions, Inc. Gerontology Current Accepting new patients
Priest NP Services Gerontology Past Accepting new patients

Locations

750 Grant Ave
Ste 150
Novato, CA 94945
Phone (415) 899-9600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306872544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 FAIR OAKS BLVD # 101-333",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085758",
            "telephone_number": "415-302-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 48TH ST STE 2145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171541",
            "telephone_number": "916-734-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKERJIAN",
        "first_name": "DEBRA",
        "credential": "PHD,  MSN, APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "4924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "4924",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0049240",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "284559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "PRIEST",
            "credential": "PHD, MSN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.