Individual provider Active NPI

Clemente Miller, LVN

  • Psychiatric/Mental Health Registered Nurse
  • Bakersfield, CA
National Provider Identifier
1669811840
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95418079 Issued in CA
Practice address
718 Workman Strret
Bakersfield, CA 93307
Phone
(661) 335-7100
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95418079 CA Primary
Licensed Vocational Nurse 164X00000X 259037 CA

Addresses

Primary practice location

718 Workman Strret
Bakersfield, CA 93307

Mailing address

8901 Gleeson CT
Bakersfield, CA 93311-1910
Phone (661) 384-1900

Other practice location 1

2151 College Ave
Bakersfield, CA 93305
Phone (661) 868-8037

Other identifiers 1

IdentifierTypeStateIssuer
1568219855OtherCATELECARECORP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95418079CAMDPsychiatric/Mental Health Registered Nurse
259037CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1669811840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GLEESON CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111910",
            "telephone_number": "661-384-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WORKMAN STRRET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93307",
            "telephone_number": "661-335-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 COLLEGE AVE",
            "address_purpose": "LOCATION",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93305",
            "country_code": "US",
            "telephone_number": "661-868-8037",
            "fax_number": "661-868-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CLEMENTE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95418079",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "259037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARECORP",
            "identifier": "1568219855",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.