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Deactivated NPI 1114079563 Deactivated / Inactive NPI Female Practitioner

Doreen S Bacon , NP

Nurse Practitioner • Bellflower, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Doreen Bacon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2007
NPI Deactivation Date February 27, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Doreen Bacon, NP was a registered Nurse Practitioner practicing in Bellflower, CA. Throughout an active medical career spanning 10 years, Doreen Bacon provided care at the practice location at 9400 ROSECRANS AVE until profile deactivation on 2017-02-27.

Practice Location & Contact Primary Location

Practice Address

9400 Rosecrans Ave

Bellflower, CA 907062246

Telephone 5624613000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bellflower, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Bellflower, CA (8378 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP5000

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Basil Abdelkarim , MD

Internal Medicine

NPI 1003968454

Doctor of Medicine (M.D.)

NPI 1003975715

Doctor of Optometry

Dr. Janette Nguyen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1003975723

Doctor of Podiatric Medicine

Dr. Jey Chung , MD

Surgery - Vascular Surgery

NPI 1003975764

Doctor of Medicine (M.D.)

Dr. Robert Sundstrom , MD

Neuromusculoskeletal Medicine & OMM

NPI 1003983933

Doctor of Medicine (M.D.)

NPI 1003983941

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2017

Record deactivated on February 27, 2017

NPI Profile Active September 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2008

Registered at 9400 ROSECRANS AVE, BELLFLOWER, CA 907062246 (Tel: 5624613000)

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Updated Business Mailing Address September 23, 2008

Registered at 9400 ROSECRANS AVE, BELLFLOWER, CA 907062246 (Tel: 5624613000)

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Provider Name / Credentials Updated September 23, 2008

Recorded as DOREEN BACON, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2008

Nurse Practitioner (License #NP5000 in CA)

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Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114079563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: September 23, 2008
Deactivation Date: February 27, 2017

Mailing Address

9400 Rosecrans Ave

Bellflower, CA 907062246

Phone: 5624613000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.