Individual provider Active NPI

Audrie Anne Pesigan Besoyan

  • Family Nurse Practitioner
  • Arvin, CA
National Provider Identifier
1770043887
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011170 Issued in CA
Practice address
1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone
(661) 854-5859
Fax
(661) 854-3738
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011170 CA
Family Nurse Practitioner 363LF0000X 95011170 CA Primary

Addresses

Primary practice location

1305 Bear Mountain Blvd
Arvin, CA 93203-1231

Mailing address

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-5859

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
I20190613000484 CA Practitioner - Nurse Practitioner 0648503292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, shared by 31 NPIs, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince May 20, 2019 Accepting new patients
Clinica Sierra Vista CurrentSince May 20, 2019 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 26, 2022 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2000 Physicians Blvd
Bakersfield, CA 93301
Phone (661) 324-1455

1611 1st St
Bakersfield, CA 93304
Phone (661) 336-5300

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Interoperability endpoints

  • Direct secure messaging: abesoyan19428@clinicasierravista.direct-ci.com

Organizations & group practices 7

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1770043887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031231",
            "telephone_number": "661-854-5859",
            "fax_number": "661-854-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031231",
            "telephone_number": "661-854-5859",
            "fax_number": "661-854-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESOYAN",
        "first_name": "AUDRIE ANNE",
        "middle_name": "PESIGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvin, CA

Sources for this page

Verify at the official NPI Registry.