Organization Active NPI

Ica Family Nursing Practice

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1861909079
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ICA FAMILY NURSING PRACTICE
Doing business as
CLINICA DEL VALLE
Practice address
5917 Niles St Ste 2
Bakersfield, CA 93306-4695
Phone
(661) 363-7000
Fax
(661) 493-0502
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Idalia Cortez Ablin, FNP-C
Title
Ceo/Owner
Phone
(661) 363-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5917 Niles St Ste 2
Bakersfield, CA 93306-4695

Mailing address

5917 Niles St Ste 2
Bakersfield, CA 93306-4695
Phone (661) 363-7000

Other names 1

  • CLINICA DEL VALLE Doing business as

National Provider Directory

National Provider Directory

Locations

5917 Niles St
#2
Bakersfield, CA 93306
Phone (661) 363-7000

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1861909079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 NILES ST STE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064695",
            "telephone_number": "661-363-7000",
            "fax_number": "661-493-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 NILES ST STE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064695",
            "telephone_number": "661-363-7000",
            "fax_number": "661-493-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICA FAMILY NURSING PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "ABLIN",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_middle_name": "CORTEZ",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "661-363-7000",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA DEL VALLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.