Eli Prompradit
Individual provider Active NPI Physician Assistant · Bakersfield, CA
NPI 1740965383 · NPPES record last updated Jul 19, 2025
Key facts
- NPI
- 1740965383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA62912 (CA)
- Practice address
- 1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026 - Phone
- (661) 215-1006
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- San Juan Bautista School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ace Eyecare Inc
Practice addresses (Care Compare)
1721 Westwind Dr
Bakersfield, CA 93301-3026
Phone (661) 215-1006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230905003751 | CA | Practitioner - Physician Assistant | 5991168122 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA62912 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of California, PC | Current |
Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA62912 | CA | |
| Ophthalmology Physician | 207W00000X | PA62912 | CA | |
| Physician Assistant | 363A00000X | PA62912 | CA | Yes |
Addresses
Primary practice location
1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026
Mailing address
1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026
Other providers in Bakersfield, CA
- Karina Isabel Proffer
- Porscha Profitt
- Promax Health Inc.
- Promedix Phlebotomy Services
- Prominence Hospice & Palliative Care
- Protreat Technology Corp. Global
- Luis Anthony Provencio
- Providence Medical Group
- Proximity MD Urgent Care, Inc.
- Julie Christine Pruett
All providers in Bakersfield, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.