Provider Demographics
NPI:1578097598
Name:PALIGUTAN, ROGER (NP)
Entity type:Individual
Prefix:
First Name:ROGER
Middle Name:
Last Name:PALIGUTAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 BRIMHALL RD BLDG 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2243
Mailing Address - Country:US
Mailing Address - Phone:661-695-6777
Mailing Address - Fax:661-695-6767
Practice Address - Street 1:8333 BRIMHALL RD BLDG 1000
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2243
Practice Address - Country:US
Practice Address - Phone:661-695-6777
Practice Address - Fax:661-695-6767
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031934363LF0000X
CARN631073163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse