Individual provider Active NPI

Janice Knowlton, PA

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1912116096
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12497 Issued in CA
Practice address
3008 Sillect Ave
Suite 240
Bakersfield, CA 93308-6340
Phone
(661) 616-9300
Fax
(661) 616-9301
NPI assigned
May 22, 2007
Last updated
Jun 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA12497 CA Primary

Addresses

Primary practice location

3008 Sillect Ave
Suite 240
Bakersfield, CA 93308-6340

Mailing address

3008 Sillect Ave
Suite 240
Bakersfield, CA 93308-6340
Phone (661) 616-9300

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
I20100205000721 CA Practitioner - Physician Assistant 8022151554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12497CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
William F Baker Jr MD Inc PastSince Dec 1, 2000 Accepting new patients
Central Cardiology Medical Clinic Medical Past Accepting new patients
Centric Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1912116096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 SILLECT AVE",
            "address_2": "SUITE 240",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086340",
            "telephone_number": "661-616-9300",
            "fax_number": "661-616-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SILLECT AVE",
            "address_2": "SUITE 240",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086340",
            "telephone_number": "661-616-9300",
            "fax_number": "661-616-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "JANICE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA12497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.