Individual provider Active NPI

Abelardo Mares, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1780821868
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20152 Issued in CA
Practice address
1829 B St Apt 1
Bakersfield, CA 93301-3538
Phone
(562) 673-2235
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 PA20152 CA Primary

Addresses

Primary practice location

1829 B St Apt 1
Bakersfield, CA 93301-3538

Mailing address

9202 Cord Ave
Downey, CA 90240-3026
Phone (562) 673-2235

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
I20090602000133 CA Practitioner - Physician Assistant 7911056502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

1035 Cass St
Monterey, CA 93940-4517
Phone (831) 886-0030

1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269

450 Lincoln Ave
Suite 101
Salinas, CA 93901-2652
Phone (831) 269-5988

500 Chadbourne Rd
Suite B
Fairfield, CA 94534-9644
Phone (707) 439-4039

800 W Harris St
Suite 33
Eureka, CA 95503-3929
Phone (707) 296-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20152CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Petrel Emergency Physicians, a Medical Corporation Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Physician Assistant Past Accepting new patients

Organizations & group practices 4

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1780821868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 CORD AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403026",
            "telephone_number": "562-673-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 B ST APT 1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013538",
            "telephone_number": "562-673-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "ABELARDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.