Individual provider Active NPI

Pamela Ann Caprioli, PA

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1962420422
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13751 Issued in CA
Practice address
9500 Stockdale Hwy
Suite 203
Bakersfield, CA 93311-3620
Phone
(661) 587-8110
Fax
(661) 587-8220
NPI assigned
Jul 17, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13751 CA Primary

Addresses

Primary practice location

9500 Stockdale Hwy
Suite 203
Bakersfield, CA 93311-3620

Mailing address

PO Box 1139
Suite 203
Bakersfield, CA 93302-1139
Phone (661) 371-2796

Other names 1

  • Mrs. Pamela Ann Formella-Farrer Former name

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
I20090213000011 CA Practitioner - Physician Assistant 0143385880 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13751CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumeet Bhinder MD Inc PastSince Jan 19, 2025 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Gem Physicians Medical Group Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJICA

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1962420422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "address_2": "SUITE 203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STOCKDALE HWY",
            "address_2": "SUITE 203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113620",
            "telephone_number": "661-587-8110",
            "fax_number": "661-587-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIOLI",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "FORMELLA-FARRER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.