Individual provider Active NPI

Thomas Clifford Collord, N.P.

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1720216161
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18971 Issued in CA
Practice address
4550 Panama LN Ste 100
Bakersfield, CA 93313-3486
Phone
(661) 631-2229
NPI assigned
Jun 24, 2009
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18971 CA Primary

Addresses

Primary practice location

4550 Panama LN Ste 100
Bakersfield, CA 93313-3486

Mailing address

4550 Panama LN Ste 100
Bakersfield, CA 93313-3486
Phone (661) 631-2229

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
I20100309000211 CA Practitioner - Nurse Practitioner 3072658558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Medical CorporationGroup PAC ID 4587881685, 23 clinicians

Practice addresses (Care Compare)

565 Kern St
Shafter, CA 93263-2133
Phone (661) 746-4937

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18971CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Corporation CurrentSince Dec 24, 2024 Accepting new patients
Pediatrics for All Inc Current Accepting new patients
Vanguard Medical Corporation CurrentSince Dec 24, 2024 Accepting new patients
Vanguard Medical Corporation Current Accepting new patients
Pediatrics for All Inc Current Accepting new patients
Mogo Urgent Care CurrentSince Sep 22, 2022 Accepting new patients
Sumeet Bhinder MD Inc PastSince Jan 19, 2025 Accepting new patients
Mobile Medical & Nursing, Inc. Nurse Practitioner Past Accepting new patients
Jae J. Kim, M.D. Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Sainand Medical Inc Past Accepting new patients

Locations

4550 Panama Ln
Ste 100
Bakersfield, CA 93313
Phone (661) 631-2229

8150 Hageman Rd
Bakersfield, CA 93312
Phone (661) 459-1010

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

565 Kern St
Shafter, CA 93263
Phone (661) 746-4937

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJICA
  • Direct secure messaging: thomas.collord.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1720216161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 PANAMA LN STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133486",
            "telephone_number": "661-631-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 PANAMA LN STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133486",
            "telephone_number": "661-631-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLORD",
        "first_name": "THOMAS",
        "middle_name": "CLIFFORD",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.