Individual provider Active NPI

Romona Dolan, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1831181932
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13995 Issued in CA
Practice address
3838 San Dimas St
B-111
Bakersfield, CA 93301-2284
Phone
(661) 616-1030
Fax
(661) 616-1050
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 PA13995 CA Primary

Addresses

Primary practice location

3838 San Dimas St
B-111
Bakersfield, CA 93301-2284

Mailing address

3838 San Dimas St
B-111
Bakersfield, CA 93301-2284
Phone (661) 616-1030

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
I20090430000162 CA Practitioner - Physician Assistant 5698823649 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13995CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services,Inc CurrentSince Dec 16, 2015 Accepting new patients
Central California Emergency Medicine Physicians Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Infusion and Clinical Services,Inc Past Accepting new patients
Infusion and Clinical Services, Inc. Past Accepting new patients

Locations

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

611 Airport Dr
Bakersfield, CA 93308
Phone (661) 556-4777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1831181932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "B-111",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-616-1030",
            "fax_number": "661-716-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "B-111",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-616-1030",
            "fax_number": "661-616-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "ROMONA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.