Healthcare Provider Details
I. General information
NPI: 1033364187
Provider Name (Legal Business Name): MRS. MARIA ONO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/17/2008
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3715 COLUMBUS ST
BAKERSFIELD CA
93306-2719
US
IV. Provider business mailing address
PO BOX 1000
BAKERSFIELD CA
93302-1000
US
V. Phone/Fax
- Phone: 661-868-7153
- Fax: 661-868-8087
- Phone: 661-868-6601
- Fax: 661-868-6666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | ASW89619 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: