NPIMap

Individual provider Active NPI

Ruben Alcides Nieto, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1942615299
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5340 Issued in CA
Practice address
3553 San Dimas St
Bakersfield, CA 93301-1605
Phone
(661) 404-4007
Fax
(661) 404-4108
NPI assigned
Jun 25, 2014
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5340 CA Primary

Addresses

Primary practice location

3553 San Dimas St
Bakersfield, CA 93301-1605

Mailing address

3553 San Dimas St
Bakersfield, CA 93301-1605
Phone (661) 404-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602002097 CA Practitioner - Podiatry 8921302258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3553 San Dimas St
Bakersfield, CA 93301-1605
Phone (661) 404-4007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue520
Removal of skin lesions1-10
Removal of nail tissue93
Removal or shaving of skin growth68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5340CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. CurrentSince Oct 7, 2022 Accepting new patients
Silver Summit Medical Corporation CurrentSince Jul 8, 2019 Accepting new patients
Kern Podiatry - Foot and Ankle Clinic, Inc Podiatric CurrentSince Apr 8, 2022 Accepting new patients
Oak Hills Medical Corproation CurrentSince Jul 8, 2019 Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Oct 7, 2022 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Allina Health System Past Accepting new patients
Infusion and Clinical Services, Inc. Past Accepting new patients

Locations

1311 Columbus St
Bakersfield, CA 93305
Phone (661) 379-6061

1408 Commercial Way
Ste A
Bakersfield, CA 93309
Phone (661) 727-0000

3553 San Dimas St
Bakersfield, CA 93301
Phone (661) 404-4007

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 396-7100

5020 Commerce Dr
Bakersfield, CA 93309

5400 Aldrin Ct
Bakersfield, CA 93313
Phone (661) 735-8867

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

1519 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 721-8832

714 Main St
Delano, CA 93215
Phone (661) 721-2220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1942615299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011605",
            "telephone_number": "661-404-4007",
            "fax_number": "661-404-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011605",
            "telephone_number": "661-404-4007",
            "fax_number": "661-404-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "RUBEN",
        "middle_name": "ALCIDES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.