Individual provider Active NPI

Alexis Conley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1831767276
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6012 Issued in CA
Practice address
110 New Stine Rd
Bakersfield, CA 93309-2605
Phone
(661) 832-1666
Fax
(661) 832-7145
NPI assigned
Jun 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6012 CA Primary

Addresses

Primary practice location

110 New Stine Rd
Bakersfield, CA 93309-2605

Mailing address

110 New Stine Rd
Bakersfield, CA 93309-2605

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719003573 CA Practitioner - Podiatry 2264978766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Hospital & facility affiliations

  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue322
Removal of skin lesions33
Removal of nail tissue1174
Removal or shaving of skin growth1064
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6012CAMDFoot & Ankle Surgery Podiatrist
6012CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Podiatry Group Inc Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients
Nora Medical Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

3501 Mall View Rd
Ste 104
Bakersfield, CA 93306

8307 Brimhall Rd
Ste 1704
Bakersfield, CA 93312
Phone (661) 829-7415

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

1701 27th St
Bakersfield, CA 93301
Phone (661) 322-2895

1519 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 721-8832

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1831767276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1666",
            "fax_number": "661-832-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.