Individual provider Active NPI

Angelica Romero Neison, MD

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1770787137
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A112185 Issued in CA
Practice address
4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Jun 12, 2007
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A112185 CA Primary

Addresses

Primary practice location

4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000935 CA Practitioner - Family Practice 3173718889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates PCGroup PAC ID 0244641272, 11 clinicians

Practice addresses (Care Compare)

4900 California Ave
Bakersfield, CA 93309-7024
Phone (617) 505-1520

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112185CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Form Health Associates, P.C. Family Medicine CurrentSince Sep 27, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Sep 26, 2011 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Sep 26, 2011 Accepting new patients
Healthy Life Physicians Group Pacific Northwest, P.C. Family Medicine Past Accepting new patients
Form Health Associates, P.C. Family Medicine Past Accepting new patients

Locations

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6666

8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704

109 State St
Ste 5
Boston, MA 02109

Interoperability endpoints

  • Direct secure messaging: aneison20528@sharphealthcare.direct-ci.com
  • Direct secure messaging: angelica.neison@168064768409604.direct.elationemr.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, 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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1770787137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVENUE",
            "address_2": "TOWER B, 2ND FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097024",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISON",
        "first_name": "ANGELICA",
        "middle_name": "ROMERO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.