AMY BETANCOURT (NPI# 1578676904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676904 |
| Entity Type | Individual |
| Full Name | AMY BETANCOURT |
| Credential | PA C |
| Practice Address |
815 Dr Martin Luther King Jr Blvd Bakersfield CA 93307-1365 |
| Mailing Address |
Po Box 1559 1430 Truxton Avenue Ste 400 Attn: Ann Lee Clinica Sierr Bakersfield CA 93302-1559 |
| Practice Telephone | 6613223905 |
| Practice Fax Number | 6613221370 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17978 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
815 DR MARTIN LUTHER KING JR BLVD |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494338 | Clinica Sierra Vista | Clinic/Center | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2005-08-13 |
| 1043838428 | Kenia Cardona Velasco | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2020-07-11 |
| 1467962746 | Succura Malicca Davis | Registered Nurse | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-10-02 |
| 1437689502 | Ana Cristina Rivera Gonzalez | Marriage & Family Therapist | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-06-12 |
| 1861938441 | Carrie Woods | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-01-06 |
| 1629525597 | Devaughn Bell | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307 | 2016-09-08 |
| 1376948984 | Elizabeth Reyes | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-10-24 |
| 1093129702 | Jot Preet Singh Sahi | General Practice | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-06-20 |
| 1689095416 | Lakera Duncombe-jones | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, Bakersfield, CA 93307-1365 | 2013-12-20 |
| 1649560491 | Daniel B Jurich | Internal Medicine | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| 1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
| 1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
| 1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
| 1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
| 1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
| 1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
| Find all providers in zip 93307 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010841 | Casey Carol Retiro Fulinara | Physician Assistant | 14801 Palm Ave, Bakersfield, CA 93314-9062 | 2020-10-13 |
| 1700490661 | Michael Avellan | Physician Assistant | 1102 Bluestone River Way, Bakersfield, CA 93311-9259 | 2020-09-08 |
| 1841801339 | Brianna Gonzalez | Physician Assistant | 3806 Waterfall Canyon Dr, Bakersfield, CA 93313-5516 | 2020-08-10 |
| 1083236244 | Janet Lechuga | Physician Assistant | 7722 Genivieve St, Bakersfield, CA 93307-7234 | 2020-05-11 |
| 1518593102 | Kristen Lauren Magpuri Mendes | Physician Assistant | 14100 Veracruz Dr, Bakersfield, CA 93314-8859 | 2020-03-16 |
| 1407488638 | Haley Trinh | Physician Assistant | 9330 Stockdale Hwy Ste 600, Bakersfield, CA 93311-3616 | 2020-02-05 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1215597992 | Jessica Ann Force | Physician Assistant | 15001 Yokuts Ln, Bakersfield, CA 93306-9532 | 2019-06-16 |
| 1871153783 | Zulema Garcia | Physician Assistant | 5900 Baywood St, Bakersfield, CA 93309-8713 | 2019-06-13 |
| 1063075885 | Sylvia Seaton | Physician Assistant | 10001 Camino Media # 22822, Bakersfield, CA 93311-1310 | 2019-04-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.