Individual provider Active NPI

Michael Pangilinan

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1942073507
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027958 Issued in CA
Practice address
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone
(661) 395-3000
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95159855 CA
Family Nurse Practitioner 363LF0000X 95027958 CA Primary

Addresses

Primary practice location

2615 Chester Ave
Bakersfield, CA 93301-2014

Mailing address

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 472-4979

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
I20240327003148 CA Practitioner - Nurse Practitioner 4385081272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95159855CAMDRegistered Nurse
95027958CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Mar 4, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Mar 4, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

24799 Alicia Pkwy
Laguna Hills, CA 92653
Phone (949) 652-2515

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

29400 Rancho California Rd
Temecula, CA 92591
Phone (951) 595-8282

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1942073507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012014",
            "telephone_number": "661-472-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012014",
            "telephone_number": "661-395-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95159855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.