Healthcare Provider Details

I. General information

NPI: 1144928524
Provider Name (Legal Business Name): AMRIT BAGRI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 COFFEE RD STE A
BAKERSFIELD CA
93308-5022
US

IV. Provider business mailing address

3933 COFFEE RD STE B
BAKERSFIELD CA
93308-5024
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-1185
  • Fax:
Mailing address:
  • Phone: 661-444-9236
  • Fax: 661-588-9033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95023920
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95023920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: