Individual provider Active NPI

Justina Adangai, FNP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1760070932
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019680 Issued in CA
Practice address
4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone
(661) 459-1900
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1028052 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 952414 TX
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X 1028052 TX
Nurse Practitioner 363L00000X 95019680 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

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
I20220217001909 CA Practitioner - Nurse Practitioner 3072906965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

655 S Central Valley Hwy
Shafter, CA 93263-2790
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019680CAMDNurse Practitioner
1028052TXMDAdult Health Nurse Practitioner
952414TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health Multi-Specialty Current Accepting new patients
Omni Family Health CurrentSince Jan 24, 2022 Accepting new patients
Omni Family Health CurrentSince Jan 24, 2022 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health Multi-Specialty Past Accepting new patients

Locations

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927

Interoperability endpoints

  • Direct secure messaging: justine.adangai.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: yer.vang.p1@direct.omnifamilyhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1760070932",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADANGAI",
        "first_name": "JUSTINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1028052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "952414",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "1028052",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.