Individual provider Active NPI

Ginger Lee Bhakti, CNM

  • Advanced Practice Midwife
  • Eureka, CA
National Provider Identifier
1851469092
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1625 Issued in CA
Practice address
3200 Walford Ave
Eureka, CA 95503-4828
Phone
(707) 445-3443
Fax
(707) 445-1848
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1625 CA Primary

Addresses

Primary practice location

3200 Walford Ave
Eureka, CA 95503-4828

Mailing address

3200 Walford Ave
Eureka, CA 95503-4828
Phone (707) 445-3443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gbhakti1647942@oc.providencedirect.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712004016 CA Practitioner - Certified Nurse Midwife (CNM) 6608145230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

3200 Walford Ave
Eureka, CA 95503-4828
Phone (707) 445-3443

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
49003CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 3, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Jul 3, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

3200 Walford Ave
Eureka, CA 95503
Phone (707) 445-3443

3200 Walford Ave
#A
Eureka, CA 95503
Phone (707) 443-3354

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Organizations & group practices 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1851469092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443",
            "fax_number": "707-445-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTI",
        "first_name": "GINGER",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbhakti1647942@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Walford Ave",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.