Individual provider Active NPI

Carmelita Caballes Membreve, NP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1326557893
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007436 Issued in CA
Practice address
3805 San Dimas St Ste B
Bakersfield, CA 93301-5725
Phone
(661) 326-9999
NPI assigned
Sep 27, 2017
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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 95007436 CA Primary

Addresses

Primary practice location

3805 San Dimas St Ste B
Bakersfield, CA 93301-5725

Mailing address

2212 Fiori St
Delano, CA 93215-9285
Phone (661) 454-9026

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
I20250226001635 CA Order and Referring Only - Nurse Practitioner 1557785425

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern Rural Wellness Center IncGroup PAC ID 1658402391, 9 clinicians

Practice addresses (Care Compare)

146 N Hill St
Arvin, CA 93203-1014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007436CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1326557893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 FIORI ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159285",
            "telephone_number": "661-454-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SAN DIMAS ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015725",
            "telephone_number": "661-326-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBREVE",
        "first_name": "CARMELITA",
        "middle_name": "CABALLES",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.