Active NPI
Ela Fiesta
- Physical Medicine & Rehabilitation Physician
- Arvin, CA
National Provider Identifier
1831709542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 50712
- Practice address
- 323 Campus Dr
Arvin, CA 93203-1047 - Phone
- (661) 854-4475
- NPI assigned
- Aug 6, 2020
- Last updated
- Aug 6, 2020
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 50712 | CA | Primary |
Addresses
Primary practice location
323 Campus Dr
Arvin, CA 93203-1047
Mailing address
2804 Tyler St
Bakersfield, CA 93309-6124
Phone (661) 348-1443
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1831709542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 TYLER ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933096124",
"telephone_number": "661-348-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 CAMPUS DR",
"city": "ARVIN",
"state": "CA",
"postal_code": "932031047",
"telephone_number": "661-854-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIESTA",
"first_name": "ELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "50712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.