Individual provider Active NPI

Anne Bernadette Graham, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1407089014
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 18290 Issued in CA
Practice address
2633 16TH St
Bakersfield, CA 93301-3348
Phone
(661) 634-1000
Fax
(661) 634-1040
NPI assigned
Aug 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 18290 CA Primary

Addresses

Primary practice location

2633 16TH St
Bakersfield, CA 93301-3348

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3919

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
I20120409000328 CA Practitioner - Nurse Practitioner 5597926121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family Health 93 clinicians

Practice addresses (Care Compare)

210 N Chester Ave
Bakersfield, CA 93308-4841
Phone (866) 707-6664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 18290CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Aug 2, 2021 Accepting new patients
Omni Family Health CurrentSince Aug 2, 2021 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health PastSince Dec 1, 2020 Accepting new patients

Locations

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800

4151 Mexicali Dr
Bakersfield, CA 93313

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

1022 Calloway Dr
Bakersfield, CA 93312

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

1014 Calloway Dr
Bldg F
Bakersfield, CA 93312

4900 California Ave
Ste 100B
Bakersfield, CA 93309
Phone (818) 445-6935

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625

320 James St
Shafter, CA 93263
Phone (661) 459-1800

Interoperability endpoints

  • Direct secure messaging: anne.graham.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1407089014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 16TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013348",
            "telephone_number": "661-634-1000",
            "fax_number": "661-634-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANNE",
        "middle_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-29",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 18290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.