Individual provider Active NPI

Daniella Alcira Maldonado Barrios

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1477027654
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103448 Issued in CA
Practice address
1625 S H St
Bakersfield, CA 93304-4931
Phone
(661) 398-1744
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103448 CA Primary

Addresses

Primary practice location

1625 S H St
Bakersfield, CA 93304-4931

Mailing address

5300 Dunsmuir Rd Apt 6
Bakersfield, CA 93309-8525
Phone (661) 563-2699

Other names 1

  • Dr. Daniella Alcira Maldonado Barrios Former 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001815 CA Practitioner - Dentist 1658727813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Rodrigo Ayala DDS Inc. Past Accepting new patients

Locations

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

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1477027654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DUNSMUIR RD APT 6",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933098525",
            "telephone_number": "661-563-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044931",
            "telephone_number": "661-398-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO BARRIOS",
        "first_name": "DANIELLA",
        "middle_name": "ALCIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLA",
            "last_name": "MALDONADO BARRIOS",
            "middle_name": "ALCIRA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.