MANJU BHALLA NPI 1073990859

NPI Information

  • NPI: 1073990859
  • Provider Name: MANJU BHALLA
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4900 COMMERCE DR
    BAKERSFIELD, CA
    ZIP 93309
  • Phone: (661) 395-0900

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NPI Details

Manju Bhalla is a primary care nurse practitioner in Bakersfield, CA. Manju Bhalla NPI is 1073990859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4900 COMMERCE DR
BAKERSFIELD, CA
ZIP 93309-418
Phone: (661) 395-0900
Fax: (661) 395-0700

The NPI 1073990859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 1/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95001362CALIFORNIANo
2363LP2300XNurse PractitionerPrimary Care95001362CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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