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HAMLET GARCIA-PENA M.D.
NPI 1285046136
General Practice in Bakersfield, CA

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
7800 NILES STREET, BAKERSFIELD, CA 93306(661) 328-4284(661) 616-9977 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Feb 3, 2023, Apr 17, 2018 and 1 more (4 updates tracked since 2016).

About Hamlet Garcia-pena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMLET GARCIA-PENA M.D. (NPI 1285046136) is an individual general practice provider in Bakersfield, California, licensed in California (A153375) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Oxnard.

NPPES Registry Identity

NPI1285046136
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameHAMLET GARCIA-PENACredential: M.D.
Location Address7800 NILES STREETBakersfield, CA 93306-4937
Mailing Address7800 Niles StreetBakersfield, CA 93306-4937 · (661) 328-4284 · Fax (661) 616-9977
Phone(661) 328-4284
Fax(661) 616-9977
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 27, 2014
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1285046136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A153375
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7800 NILES STREET, Bakersfield, CA 93306
Open in Google Maps ↗

Secondary Practice Location 1

Location 12220 E Gonzales Rd Ste 120A-BOxnard, CA 93036-3707 · Phone (805) 981-5151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hamlet Garcia-pena M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365706942
PECOS Enrollment IDI20250514003019
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims78 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims26 services$1.10 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims315 services$1.93 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
1 supplier11 claims12 services$14.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FERMIN GARMENDIA MD
Family Medicine
7800 NILES STREET
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
SNIMER KAUR SIDHU
Student in an Organized Health Care Education/Training Program
7800 NILES STREET
BAKERSFIELD, CA 93306
Kern County (661) 328-4284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hamlet Garcia-pena's NPI number?

The NPI number for Hamlet Garcia-pena is 1285046136. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Hamlet Garcia-pena located?

Hamlet Garcia-pena practices at 7800 Niles Street, Bakersfield, CA 93306. The listed phone number is (661) 328-4284.

What is Hamlet Garcia-pena's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Hamlet Garcia-pena enrolled in Medicare?

Yes. Hamlet Garcia-pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hamlet Garcia-pena accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Hamlet Garcia-pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hamlet Garcia-pena affiliated with any hospitals?

According to CMS data, Hamlet Garcia-pena is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Hamlet Garcia-pena was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.