MEDICARE: EMMANUEL SANCHEZ CARDENAS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146D00000X	Personal Emergency Response Attendant
2	363L00000X	Nurse Practitioner	95017424	CA

General Provider Information

NPI Number	:	1043894777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUEL SANCHEZ CARDENAS FNP-C

Provider Business Mailing Address
First Line	:	4100 INDIE CT
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-2139
Country	:	US
Telephone Number	:	661-431-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 TRUXTUN AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-3698
Country	:	US
Telephone Number	:	661-843-5001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2021
Last Update Date	:	03/28/2023

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