Anita Awoenam Mamattah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019685 Issued in CA

Practice address

6001 Truxtun Ave
Bakersfield, CA 93309-0679

Phone

(661) 588-4001

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peridot HealthGroup PAC ID 0648713024, 4 clinicians

Shafter Urgent CareGroup PAC ID 9133494578, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Delano Hospital, Delano, CA, CCN 050608

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAJICA

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.

• Peridot Health

  • Primary Care Clinic/Center
  • MC Farland, CA
  • NPI 1962255661
  Medicare reassignment Care Compare group NPD
• Shafter Urgent Care

  • Urgent Care Clinic/Center
  • Shafter, CA
  • NPI 1376994533
  Medicare reassignment Care Compare group NPD
• Sankofa Comprehensive Home Health Services LLC

  • Home Health Agency
  • Bakersfield, CA
  • NPI 1992452650
  NPD
• Sumeet Bhinder MD Inc

  • Non-Pharmacy Dispensing Site
  • Bakersfield, CA
  • NPI 1003627159
  NPD (past)

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

• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1144237272
  Care Compare affiliation

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1508527201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 PLUMAS WOOD LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148042",
            "telephone_number": "166-158-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-588-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 27th St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012807",
            "country_code": "US",
            "telephone_number": "661-706-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMATTAH",
        "first_name": "ANITA",
        "middle_name": "AWOENAM",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "627116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taya Malone, PHARMD
• Kathleen Phyllis Maloney, BA
• Denise Maltone
• Maluhia Therapy Services LLC
• Mama Vega Enterprises
• Harry Mamattah
• Shirley Man, DDS
• Jaswant Manak
• Arthur Ganot Manalac, BS, RN, PHN
• Jaycee Lyn Arcangel Manalang

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.