Healthcare Provider Details

I. General information

NPI: 1871090001
Provider Name (Legal Business Name): JOSE RIZALDY ROMERO FLORES FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 10/27/2023
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PHYSICIANS BLVD
BAKERSFIELD CA
93301-1277
US

IV. Provider business mailing address

2000 PHYSICIANS BLVD
BAKERSFIELD CA
93301-1277
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-1455
  • Fax: 661-324-3720
Mailing address:
  • Phone: 661-324-1455
  • Fax: 661-324-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95008889
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: