Individual provider Active NPI

Caitlin M Ghilarducci, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1770098865
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55177 Issued in CA
Practice address
5101 Commerce Dr Ste 101
Bakersfield, CA 93309-0412
Phone
(661) 327-3756
Fax
(661) 327-2332
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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 PA55177 CA Primary

Addresses

Primary practice location

5101 Commerce Dr Ste 101
Bakersfield, CA 93309-0412

Mailing address

5101 Commerce Dr Ste 101
Bakersfield, CA 93309-0412
Phone (661) 327-3756

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
I20180413001729 CA Practitioner - Physician Assistant 9335402882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA55177CAMDPhysician Assistant

Organizations & group practices 1

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1770098865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090412",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090412",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHILARDUCCI",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.