Individual provider Active NPI

Idalia Cortez Ablin, FNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1871519447
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
FNP 12569 Issued in CA
Practice address
5917 Niles St
# 2
Bakersfield, CA 93306-4695
Phone
(661) 363-7000
Fax
(661) 493-0502
NPI assigned
Jul 15, 2006
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 FNP 12569 CA Primary

Addresses

Primary practice location

5917 Niles St
# 2
Bakersfield, CA 93306-4695

Mailing address

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

Other names 1

  • Miss Idalia Cortez Former name

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
I20050513000099 CA Practitioner - Nurse Practitioner 2264473859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6372
Phone (661) 323-8384

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FNP 12569CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centric Health CurrentSince Mar 18, 2017 Accepting new patients
Centric Health CurrentSince Mar 18, 2017 Accepting new patients

Locations

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

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

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1871519447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 NILES ST",
            "address_2": "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",
            "address_2": "# 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064695",
            "telephone_number": "661-363-7000",
            "fax_number": "661-493-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLIN",
        "first_name": "IDALIA",
        "middle_name": "CORTEZ",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "FNP 12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDALIA",
            "last_name": "CORTEZ",
            "prefix": "MISS",
            "credential": "MSN FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.