Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miki Deanna Baltazar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679293013

Miki Deanna Baltazar is a Nurse Practitioner in Bakersfield, California. Qualified in 2022, 4 years ago. Practices with Cep America - California, a 1,267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4821 Panama Ln
Bakersfield, CA 93313-3480
Phone: (661) 556-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 Buena Vista Rd, Bakersfield, CA 93311-9701 — (661) 664-1682

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95024668 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679293013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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