Individual provider Active NPI

Antonio Roque Encarnacion III, MSN, FNP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1790649416
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95036310 Issued in CA
Practice address
4700 Stockdale Hwy Ste 108
Bakersfield, CA 93309-2604
Phone
(440) 600-8983
NPI assigned
Dec 16, 2025
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 95036310 CA Primary
Family Nurse Practitioner 363LF0000X 95036310 CA

Addresses

Primary practice location

4700 Stockdale Hwy Ste 108
Bakersfield, CA 93309-2604

Mailing address

4700 Stockdale Hwy Ste 108
Bakersfield, CA 93309-2604
Phone (440) 600-8983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790649416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 STOCKDALE HWY STE 108",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092604",
            "telephone_number": "440-600-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 STOCKDALE HWY STE 108",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092604",
            "telephone_number": "440-600-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "ANTONIO",
        "middle_name": "ROQUE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95036310",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036310",
            "primary": false
        }
    ],
    "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 May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.