Individual provider Active NPI

Elisa Gonzalez de Los Santos, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1538987144
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031557 Issued in CA
Practice address
815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-9901
Phone
(661) 322-3905
Fax
(661) 322-1370
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 95031557 CA Primary

Addresses

Primary practice location

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-9901

Mailing address

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-9901
Phone (661) 322-3905

Other names 1

  • Elisa Gonzalez 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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113001758 CA Practitioner - Nurse Practitioner 3476087420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakersfield Family Medical Group IncGroup PAC ID 9335052737, 20 clinicians
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone (661) 322-3905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95031557CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Bakersfield Family Medical Group Inc CurrentSince Oct 14, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 2, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 2, 2025 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

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

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

815 Martin Luther King Jr Blvd
Bakersfield, CA 93307
Phone (661) 322-3905

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elisa.gonzalezdelossantos.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: elisa.gonzalezdelossantos.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 5

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1538987144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933079901",
            "telephone_number": "661-322-3905",
            "fax_number": "661-322-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933079901",
            "telephone_number": "661-322-3905",
            "fax_number": "661-322-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DE LOS SANTOS",
        "first_name": "ELISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.