Individual provider Active NPI

Guadalupe Robles, FNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1942202387
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP11684 Issued in CA
Practice address
5601 Auburn St Unit a
Bakersfield, CA 93306-2977
Phone
(661) 616-9700
Fax
(661) 616-9719
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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 NP11684 CA Primary

Addresses

Primary practice location

5601 Auburn St Unit a
Bakersfield, CA 93306-2977

Mailing address

5601 Auburn St Unit a
Bakersfield, CA 93306-2977
Phone (661) 616-9700

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
I20040929000661 CA Practitioner - Nurse Practitioner 7214906908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP11684CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Medical Center CurrentSince Sep 22, 2019 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

Organizations & group practices 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1942202387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 AUBURN ST UNIT A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062977",
            "telephone_number": "661-616-9700",
            "fax_number": "661-616-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 AUBURN ST UNIT A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062977",
            "telephone_number": "661-616-9700",
            "fax_number": "661-616-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.