Active NPI
Imo Okon Efanga
- Registered Nurse
- Bakersfield, CA
National Provider Identifier
1730849597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 765721
- Practice address
- 2151 College Ave
Bakersfield, CA 93305-4113 - Phone
- (661) 868-8037
- Fax
- (661) 868-8018
- NPI assigned
- Dec 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 765721 | CA | Primary |
Addresses
Primary practice location
2151 College Ave
Bakersfield, CA 93305-4113
Mailing address
PO Box 1000
Bakersfield, CA 93302-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 765721 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1730849597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 COLLEGE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933054113",
"telephone_number": "661-868-8037",
"fax_number": "661-868-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFANGA",
"first_name": "IMO",
"middle_name": "OKON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "765721",
"primary": true
}
],
"identifiers": [],
"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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.