Active NPI
Faustino Enriquez, FNP-C
- Family Nurse Practitioner
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95020266
- Practice address
- 301 Brundage LN
Bakersfield, CA 93304-3248 - Phone
- (661) 323-6086
- Fax
- (661) 324-6301
- NPI assigned
- Mar 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95020266 | CA | Primary |
Addresses
Primary practice location
301 Brundage LN
Bakersfield, CA 93304-3248
Mailing address
301 Brundage LN
Bakersfield, CA 93304-3248
Phone (661) 323-6086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 Stockdale Hwy
Bakersfield, CA 93309-2150
Phone (661) 328-9831
3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020266 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Universal Healthcare Ipa, Inc. | Past | Accepting new patients |
Locations
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937
3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 12
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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- Emergency Medicine Physician
- Covina, CA
- NPI 1235503947
-
- Emergency Medicine Physician
- Watsonville, CA
- NPI 1831587179
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1861424376
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1851914378
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delano, CA
- NPI 1144237272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1609525963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933043248",
"telephone_number": "661-323-6086",
"fax_number": "661-324-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933043248",
"telephone_number": "661-323-6086",
"fax_number": "661-324-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "FAUSTINO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-22",
"last_updated": "2023-12-22",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020266",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3733 San Dimas St",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933011407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Dec 22, 2023; 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.