Individual provider Active NPI

Roldine Banatte-Garcon, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1700269933
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003779 Issued in CA
Practice address
718 Workman St
Bakersfield, CA 93307-6800
Phone
(661) 859-5102
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1700269933 CA
Family Nurse Practitioner 363LF0000X 95003779 CA Primary

Addresses

Primary practice location

718 Workman St
Bakersfield, CA 93307-6800

Mailing address

718 Workman St
Bakersfield, CA 93307-6800
Phone (661) 859-5102

Other identifiers 1

IdentifierTypeStateIssuer
1568219855OtherCAKERN ADULT PHF

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
I20160303001564 CA Practitioner - Nurse Practitioner 1254637044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1700269933CAMDFamily Nurse Practitioner
95003779CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffmann Hospice of the Valley Inc CurrentSince Oct 1, 2020 Accepting new patients
Hoffmann Hospice of the Valley Inc CurrentSince Oct 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Dec 11, 2018 Accepting new patients
Hullander and Mozingo LP CurrentSince Mar 3, 2023 Accepting new patients
Hullander and Mozingo LP CurrentSince Mar 3, 2023 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

4325 Buena Vista Rd
Bldg A
Bakersfield, CA 93311
Phone (661) 410-1010

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

3551 Q St
Ste 102
Bakersfield, CA 93301

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1700269933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WORKMAN ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076800",
            "telephone_number": "661-859-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WORKMAN ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076800",
            "telephone_number": "661-859-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANATTE-GARCON",
        "first_name": "ROLDINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "1700269933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KERN ADULT PHF",
            "identifier": "1568219855",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.