Individual provider Active NPI

Deborah Kristy San-Gil, MSN, FNP-BC, NP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1376175752
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95013610 Issued in CA
Practice address
14000 Cardigan Ave
Bakersfield, CA 93314-8996
Phone
(650) 753-9784
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 95013610 CA Primary

Addresses

Primary practice location

14000 Cardigan Ave
Bakersfield, CA 93314-8996

Mailing address

14000 Cardigan Ave
Bakersfield, CA 93314-8996
Phone (650) 753-9784

Other names 1

  • Deborah Kristy San Gil Other name

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
I20200413000105 CA Order and Referring Only - Family PracticePractitioner - General PracticePractitioner - Family Practice 1759710825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1376175752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 CARDIGAN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148996",
            "telephone_number": "650-753-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CARDIGAN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148996",
            "telephone_number": "650-753-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN-GIL",
        "first_name": "DEBORAH KRISTY",
        "credential": "MSN, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH KRISTY",
            "last_name": "SAN GIL",
            "credential": "MSN, FNP-BC, NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.