Healthcare Provider Details

I. General information

NPI: 1215842455
Provider Name (Legal Business Name): JOSIE PINEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 FANGIO CT
BAKERSFIELD CA
93306-8303
US

IV. Provider business mailing address

11001 FANGIO CT
BAKERSFIELD CA
93306-8303
US

V. Phone/Fax

Practice location:
  • Phone: 661-316-5446
  • Fax:
Mailing address:
  • Phone: 661-316-5446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: