Active NPI
Iliana Hernandez Infante, DDS
- Dentist
- Bakersfield, CA
National Provider Identifier
1326591389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100545
- Practice address
- 5452 California Ave
Bakersfield, CA 93309-1618 - Phone
- (661) 322-2300
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100545 | CA | Primary |
Addresses
Primary practice location
5452 California Ave
Bakersfield, CA 93309-1618
Mailing address
5452 California Ave
Bakersfield, CA 93309-1618
Phone (661) 322-2300
Other practice location 1
8787 Hall Rd
LaMont, CA 93241-1953
Phone (661) 845-3688
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907001708 | CA | Order and Referring Only - Oral Surgery | 9537455183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iliana H. Infante, DDS, Inc | Current | Accepting new patients | |
| Gouda Dental Corporation | Past | Accepting new patients |
Locations
5452 California Ave
Bakersfield, CA 93309
Phone (661) 322-2300
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.
-
- Dental Clinic/Center
- Bakersfield, CA
- NPI 1588273213
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1154874162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1326591389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5452 CALIFORNIA AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091618",
"telephone_number": "661-322-2300",
"fax_number": "661-845-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5452 CALIFORNIA AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091618",
"telephone_number": "661-322-2300"
}
],
"practiceLocations": [
{
"address_1": "8787 Hall Rd",
"address_purpose": "LOCATION",
"city": "LaMont",
"state": "CA",
"postal_code": "932411953",
"country_code": "US",
"telephone_number": "661-845-3688",
"fax_number": "661-845-3739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ INFANTE",
"first_name": "ILIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100545",
"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 Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.