Individual provider Active NPI

Andrea Seantrice Bagsby

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1649939935
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018862 Issued in CA
Practice address
4100 Truxtun Ave
Bakersfield, CA 93309-0678
Phone
(661) 632-1540
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 95018862 CA Primary

Addresses

Primary practice location

4100 Truxtun Ave
Bakersfield, CA 93309-0678

Mailing address

6115 Ragusa LN
Bakersfield, CA 93308-5172
Phone (661) 932-4430

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
I20220422001316 CA Practitioner - Nurse Practitioner 5698162568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Mar Monte IncGroup PAC ID 1456248954, 31 clinicians

Practice addresses (Care Compare)

2633 16TH St
Bakersfield, CA 93301-3348
Phone (661) 634-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018862CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Infusion4Health CurrentSince Jan 1, 2024 Accepting new patients
Mogo Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Scott Parry, M.D., PC Past Accepting new patients
Vernon C Sorenson MD Inc. Past Accepting new patients

Locations (25 of 27)

1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012

18145 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (909) 710-5752

8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312

9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003

625 Citracado Pkwy
Ste 204
Escondido, CA 92025
Phone (760) 294-9255

1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400

2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900

501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757

1400 Reynolds Ave
Ste 201202
Irvine, CA 92614

8881 Fletcher Pkwy
Ste 385
La Mesa, CA 91942
Phone (619) 460-0137

79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253

79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067

24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757

11306 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone (909) 478-9081

2020 Del Monte Ave
Ste B
Monterey, CA 93940
Phone (831) 622-6930

3300 Webster St
Ste 900
Oakland, CA 94609
Phone (510) 834-3700

6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450

333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 314-7060

4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777

5620 Wilbur Ave
Ste 310
Tarzana, CA 91356
Phone (323) 886-3368

27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299

77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099

23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505

Interoperability endpoints

  • Direct secure messaging: andrea.bagsbynp.p1@direct.ppmarmonte.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1649939935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 RAGUSA LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085172",
            "telephone_number": "661-932-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090678",
            "telephone_number": "661-632-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGSBY",
        "first_name": "ANDREA",
        "middle_name": "SEANTRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.