Individual provider Active NPI

Gisela Tupino, RN

  • Registered Nurse
  • Bakersfield, CA
National Provider Identifier
1750885968
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
631235 Issued in CA
Practice address
4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone
(661) 459-1900
Fax
(661) 459-1974
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 631235 CA Primary

Addresses

Primary practice location

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ13785ZMedicaidCA

Other names 1

  • Gisela Dima-Andal Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
631235CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1750885968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPINO",
        "first_name": "GISELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "631235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ13785Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GISELA",
            "last_name": "DIMA-ANDAL",
            "credential": "RN",
            "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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.