Individual provider Active NPI

Dane Lee Nestor, FNP

  • Nurse Practitioner
  • Arvin, CA
National Provider Identifier
1629554571
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009915 Issued in CA
Practice address
146 N Hill St
Arvin, CA 93203-1014
Phone
(661) 855-4468
NPI assigned
Jul 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 843915 CA
Nurse Practitioner 363L00000X 95009915 CA Primary

Addresses

Primary practice location

146 N Hill St
Arvin, CA 93203-1014

Mailing address

146 N Hill St
Arvin, CA 93203-1014
Phone (661) 304-4149

Other practice location 1

400 Old River Rd
Bakersfield, CA 93311-9781
Phone (661) 663-6275

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417002251 CA Practitioner - Nurse Practitioner 0143561266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

1200 Discovery Dr
Bakersfield, CA 93309-7032
Phone (661) 328-9831

3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009915CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 8, 2022 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Envista Medical Neck and Back Center, P.C. CurrentSince Sep 9, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 8, 2022 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 11, 2020 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 11, 2020 Accepting new patients

Locations

3900 Coffee Rd
Ste 3
Bakersfield, CA 93308
Phone (661) 587-0700

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 7

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1629554571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N HILL ST",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031014",
            "telephone_number": "661-304-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N HILL ST",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031014",
            "telephone_number": "661-855-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Old River Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119781",
            "country_code": "US",
            "telephone_number": "661-663-6275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "DANE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "843915",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009915",
            "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 Arvin, CA

Sources for this page

Verify at the official NPI Registry.