Individual provider Active NPI

Rose Mwangi, FNP

  • Family Nurse Practitioner
  • Bakersfeild, CA
National Provider Identifier
1841676434
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07151458 Issued in CA
Practice address
10001 Cobblestone Ave
Bakersfeild, CA 93311
Phone
(302) 345-7962
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07151458 CA Primary

Addresses

Primary practice location

10001 Cobblestone Ave
Bakersfeild, CA 93311

Mailing address

10001 Cobblestone Ave
Bakersfeild, CA 93311
Phone (302) 345-7962

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
I20160113001237 CA Practitioner - Nurse Practitioner 7416259031 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

1250 S Beverly Glen Blvd
Apt 202
Los Angeles, CA 90024-5221
Phone (310) 270-6181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07151458CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince May 22, 2024 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Dec 13, 2016 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince Dec 15, 2015 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Dec 13, 2016 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc CurrentSince Jan 15, 2018 Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9500 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 836-5004

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1841676434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 COBBLESTONE AVE",
            "city": "BAKERSFEILD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "302-345-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 COBBLESTONE AVE",
            "city": "BAKERSFEILD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "302-345-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F07151458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.