Individual provider Active NPI

Darryl Christian Altavas, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1902294085
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001438 Issued in CA
Practice address
11612 Bolthouse Dr Ste 100
Bakersfield, CA 93311-8497
Phone
(661) 748-1999
NPI assigned
Dec 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001438 CA Primary
Nurse Practitioner 363L00000X 95001438 CA

Addresses

Primary practice location

11612 Bolthouse Dr Ste 100
Bakersfield, CA 93311-8497

Mailing address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Other practice location 1

5510 S Fort Apache Rd
Las Vegas, NV 89148-7657
Phone (702) 761-4888

Other practice location 2

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

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
I20150326000038 CA Practitioner - Nurse Practitioner 9335466630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Tutor Inc CurrentSince Jan 15, 2024 Accepting new patients
Centric Health CurrentSince Oct 18, 2021 Accepting new patients
Synergy Care Providers PLLC Current Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

11612 Bolthouse Dr
Ste 100
Bakersfield, CA 93311
Phone (661) 748-1999

3008 Sillect Ave
Ste 220
Bakersfield, CA 93308
Phone (661) 748-1999

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

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1902294085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 BOLTHOUSE DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118497",
            "telephone_number": "661-748-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 S Fort Apache Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891487657",
            "country_code": "US",
            "telephone_number": "702-761-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Grangeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932302861",
            "country_code": "US",
            "telephone_number": "844-623-0999",
            "fax_number": "844-306-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAVAS",
        "first_name": "DARRYL CHRISTIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001438",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.