Healthcare Provider Details

I. General information

NPI: 1366351959
Provider Name (Legal Business Name): MAMTABEN RAMESHBHAI NASIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 MING AVE
BAKERSFIELD CA
93311-1300
US

IV. Provider business mailing address

6600 ACEY ST
EASTVALE CA
92880-3477
US

V. Phone/Fax

Practice location:
  • Phone: 661-664-0187
  • Fax:
Mailing address:
  • Phone: 951-892-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92850
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: