Bernice Aderintola Bamgbade

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106688 Issued in CA

Practice address

4900 California Ave
Bakersfield, CA 93309-7024

Phone

(661) 459-1900

NPI assigned

Apr 20, 2020

Last updated

Sep 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: berenice.bamgbade.p1@direct.omnifamilyhealth.nextgenshare.com
• Direct secure messaging: bernice.bamgbade.p1@direct.hopehealthtx.nextgenshare.com

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.

• Lifelong Medical Care

  dba Over Sixty Health Center

  • Geriatric Medicine (Family Medicine) Physician
  • Berkeley, CA
  • NPI 1689670002
  Medicare reassignment NPD
• Ellis County Coalition for Health Options

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Waxahachie, TX
  • NPI 1326236464
  Medicare reassignment NPD
• Lifelong Medical Care

  • Family Medicine Physician
  • Rodeo, CA
  • NPI 1003289463
  NPD
• Ellis County Coalition for Health Options

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Ennis, TX
  • NPI 1073970141
  NPD
• Hope First Investments

  dba Hope 1st Pharmacy

  • Pharmacy
  • Atlanta, GA
  • NPI 1861114977
  NPD (past)
• The Good Samaritan Health Center, Inc.

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1629254008
  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1609496637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097024",
            "telephone_number": "713-401-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097024",
            "telephone_number": "661-459-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMGBADE",
        "first_name": "BERNICE",
        "middle_name": "ADERINTOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39018",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106688",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Baltazar
• Miki Deanna Baltazar
• Felix Martinez Baltierra III
• Steven Baltierra
• Bam Individual Family Therapy and Wellness (Bam Therapy and Wellness)
• Roldine Banatte-Garcon, NP
• Danial Bandak, DO
• Diana Bandak, OD
• Candice Banducci, FNP-C
• Michael Anthony Banducci, D.D.S.

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.