Active NPI
Jerilyn Stewart, P.A.
- Physician Assistant
- Bakersfield, CA
National Provider Identifier
1780788042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12069
- Practice address
- 9500 Stockdale Hwy
#203
Bakersfield, CA 93311-3620 - Phone
- (661) 664-0252
- Fax
- (661) 664-2717
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12069 | CA | Primary |
Addresses
Primary practice location
9500 Stockdale Hwy
#203
Bakersfield, CA 93311-3620
Mailing address
9500 Stockdale Hwy
#203
Bakersfield, CA 93311-3620
Phone (661) 664-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12069 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780788042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 STOCKDALE HWY",
"address_2": "#203",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113620",
"telephone_number": "661-664-0252",
"fax_number": "661-664-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 STOCKDALE HWY",
"address_2": "#203",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113620",
"telephone_number": "661-664-0252",
"fax_number": "661-664-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JERILYN",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.