Alexandra CL Dzikowski

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023347 Issued in CA

Practice address

620 34TH St
Bakersfield, CA 93301-2208

Phone

(661) 247-1010

NPI assigned

Oct 19, 2022

Last updated

Feb 8, 2024By the provider in NPPES

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians

Caring MD Mobile GroupGroup PAC ID 2961924568, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

81.32

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandra.dzikowski.1@17363.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EIAIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caring MD Mobile Group

  • Primary Care Nurse Practitioner
  • La Crescenta, CA
  • NPI 1396542619
  Medicare reassignment Care Compare group NPD
• Infinity Mobile Medical Group

  • Primary Care Clinic/Center
  • Encino, CA
  • NPI 1912727835
  Medicare reassignment Care Compare group NPD
• Carlos a. Alvarez, MD, Inc

  • Internal Medicine Physician
  • Shafter, CA
  • NPI 1437427341
  Medicare reassignment NPD
• Infinity Wound Care Specialist

  • Wound Care Registered Nurse
  • Encino, CA
  • NPI 1275361941
  Medicare reassignment NPD
• Polyclinic Medical Center, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1750308656
  Medicare reassignment NPD
• Carlos a. Alvarez, M.D., Inc

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1114484037
  NPD
• Polyclinic Medical Center, Inc.

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1053589598
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1508582610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001B TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090611",
            "telephone_number": "661-489-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012208",
            "telephone_number": "661-247-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001B Truxtun Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090611",
            "country_code": "US",
            "telephone_number": "661-489-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIKOWSKI",
        "first_name": "ALEXANDRA",
        "middle_name": "CL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023347",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "720267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (White Lane Dialysis)
• Dva Healthcare Renal Care Inc (Northeast Dialysis)
• Dva Healthcare Renal Care Inc (Bakersfield Brimhall Dialysis)
• James Dye
• Steven Henry Dzierba, PHARMD MS FASHP
• E Nadjmabadi, Inc. (Esmail Nadjmabadi MD, Inc.)
• E.R.F. Incorporated (Central Valley Medical Supplies)
• Michael Eagan, MD
• Danielle Eagle
• Narandja Milanovich Eagleson, MFT-T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.