Individual provider Active NPI

Ramon Mansilungan

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1932606167
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008893 Issued in CA
Practice address
5400 Aldrin CT
Bakersfield, CA 93313-2103
Phone
(661) 978-8007
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008893 CA Primary

Addresses

Primary practice location

5400 Aldrin CT
Bakersfield, CA 93313-2103

Mailing address

5400 Aldrin CT
Bakersfield, CA 93313-2103
Phone (661) 978-8007

Other identifiers 1

IdentifierTypeStateIssuer
95008893OtherCABRN OF CALIFORNIA NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1932606167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 ALDRIN CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132103",
            "telephone_number": "661-978-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 ALDRIN CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132103",
            "telephone_number": "661-978-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSILUNGAN",
        "first_name": "RAMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN OF CALIFORNIA NURSE  PRACTITIONER",
            "identifier": "95008893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 29, 2019; 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.