Individual provider Active NPI

Roderick Nearing, LICENSED VOCATIONAL

  • Licensed Vocational Nurse
  • Bakersfield, CA
National Provider Identifier
1316725385
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
727841 Issued in CA
Practice address
1010 1/2 S Union Ave
Bakersfield, CA 93307-3642
Phone
(661) 321-0234
Fax
(661) 321-9856
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 727841 CA Primary

Addresses

Primary practice location

1010 1/2 S Union Ave
Bakersfield, CA 93307-3642

Mailing address

10109 Palm Ave
Bakersfield, CA 93312-2857
Phone (805) 816-9675

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
727841CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1316725385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 PALM AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122857",
            "telephone_number": "805-816-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1/2 S UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073642",
            "telephone_number": "661-321-0234",
            "fax_number": "661-321-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARING",
        "first_name": "RODERICK",
        "credential": "LICENSED VOCATIONAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "727841",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 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.