Individual provider Active NPI

Estrelita B Bumacod, R.P.T.

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1538104971
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12164 Issued in CA
Practice address
2535 16TH St
Bakersfield, CA 93301-3417
Phone
(661) 308-8777
Fax
(661) 374-4242
NPI assigned
Jun 19, 2006
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT12164 CA Primary

Addresses

Primary practice location

2535 16TH St
Bakersfield, CA 93301-3417

Mailing address

2535 16TH St
Bakersfield, CA 93301-3417
Phone (661) 308-8777

Other identifiers 1

IdentifierTypeStateIssuer
12164OtherCALICENSE NO.

Other names 1

  • Estrelita Corpuz Balitao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT12164CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1538104971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 16TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013417",
            "telephone_number": "661-308-8777",
            "fax_number": "661-374-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 16TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013417",
            "telephone_number": "661-308-8777",
            "fax_number": "661-374-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMACOD",
        "first_name": "ESTRELITA",
        "middle_name": "B",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "12164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTRELITA",
            "last_name": "BALITAO",
            "middle_name": "CORPUZ",
            "credential": "R.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.