Individual provider Active NPI

Josephine Nguyen Olson, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1750691242
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21153 Issued in CA
Practice address
3400 Calloway Dr Ste 200
Bakersfield, CA 93312-2513
Phone
(661) 410-7546
NPI assigned
Oct 18, 2010
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21153 CA Primary

Addresses

Primary practice location

3400 Calloway Dr Ste 200
Bakersfield, CA 93312-2513

Mailing address

3400 Calloway Dr Ste 200
Bakersfield, CA 93312-2513
Phone (661) 410-7546

Other names 1

  • Josephine Junior Nguyen Former name

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
I20120508000433 CA Practitioner - Physician Assistant 3870755895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ana Cardenas Dermatology a Professional CorporationGroup PAC ID 6507892247, 5 clinicians

Practice addresses (Care Compare)

3400 Calloway Dr
Bakersfield, CA 93312-2513
Phone (661) 410-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.32 of 100Reported as group
Quality
70.64
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21153CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
Boulder Dermatology Clinic, PC PastSince Jul 1, 2011 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1750691242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOSEPHINE",
        "middle_name": "NGUYEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "NGUYEN",
            "middle_name": "JUNIOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.