Healthcare Provider Details

I. General information

NPI: 1275062044
Provider Name (Legal Business Name): RIDHIMA SOFTA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 COFFEE RD STE 3
BAKERSFIELD CA
93308-5050
US

IV. Provider business mailing address

1520 BRUNDAGE LN
BAKERSFIELD CA
93304-2949
US

V. Phone/Fax

Practice location:
  • Phone: 661-587-0700
  • Fax: 661-587-9131
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003685
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number841235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: