Individual provider Active NPI

Mary Anziano, NP

  • Nurse Practitioner
  • Tehachapi, CA
National Provider Identifier
1851468607
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP10801 Issued in CA
Practice address
432 S Mill St
Tehachapi, CA 93561-2027
Phone
(661) 823-2273
NPI assigned
Nov 29, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP10801 CA Primary

Addresses

Primary practice location

432 S Mill St
Tehachapi, CA 93561-2027

Mailing address

432 S Mill St
Tehachapi, CA 93561-2027
Phone (661) 823-2273

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
I20081229000637 CA Practitioner - Nurse Practitioner 0648332619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakersfield Family Medical Group IncGroup PAC ID 9335052737, 20 clinicians

Practice addresses (Care Compare)

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP10801CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc CurrentSince Jan 17, 2011 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mary.anziano.p1@direct.bfmc.nextgenshare.com

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1851468607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S MILL ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612027",
            "telephone_number": "661-823-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S MILL ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612027",
            "telephone_number": "661-823-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZIANO",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

Verify at the official NPI Registry.