Individual provider Active NPI

Ileana Laguna, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1326617648
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A193179 Issued in CA
Practice address
625 34TH St Ste 100&200
Bakersfield, CA 93301-2305
Phone
(833) 678-2781
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A193179 CA Primary

Addresses

Primary practice location

625 34TH St Ste 100&200
Bakersfield, CA 93301-2305

Mailing address

465 W Putnam Ave
Porterville, CA 93257-3320

Other practice location 1

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110 ext. 6156

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001632 CA Practitioner - Internal Medicine 7315470465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

625 34TH St
Suite 100And200
Bakersfield, CA 93301-2305
Phone (833) 678-2781

Hospital & facility affiliations

  • Purpose Driven Home Health, LLC Home health agency, Bakersfield, CA, CCN 059545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A193179CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Oct 28, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 28, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Infusion and Clinical Services, Inc. Internal Medicine Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100
Bakersfield, CA 93301

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6616353050 ext. 2148

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1326617648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "833-678-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573320",
            "country_code": "US",
            "telephone_number": "559-784-1110 x6156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGUNA",
        "first_name": "ILEANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A193179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.