Active NPI
Rena Marie Gamino, M.S, PSYD
- Clinical Psychologist
- Bakersfield, CA
National Provider Identifier
1730329210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33184
- Practice address
- 3628 Stockdale Hwy
Bakersfield, CA 93309-2153 - Phone
- (661) 322-1021
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF59257 | CA | |
| Clinical Psychologist | 103TC0700X | 33184 | CA | Primary |
Addresses
Primary practice location
3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Mailing address
2737 W Cecil Ave
Delano, CA 93215-1821
Phone (661) 721-2345
Other names 1
- Miss Rena Marie Vasquez
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF59257 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Current | Accepting new patients | |
| North Kern State Prison | Past | Accepting new patients |
Locations
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
2737 W Cecil Ave
Delano, CA 93215
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Pharmacy
- Delano, CA
- NPI 1942835756
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1316572753
-
- Prison Health Clinic/Center
- Delano, CA
- NPI 1710350384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1730329210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 W CECIL AVE",
"city": "DELANO",
"state": "CA",
"postal_code": "932151821",
"telephone_number": "661-721-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092153",
"telephone_number": "661-322-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMINO",
"first_name": "RENA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.S, PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF59257",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENA",
"last_name": "VASQUEZ",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.