IndividualActive
Bongani Mazibuko
NPI 1720769367 · Assisted Living Facility · Bakersfield, CA
Provider details
- NPI number
- 1720769367
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 157209325 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9013 Staten Island Dr
Bakersfield, CA 93311-9671
Phone: (661) 501-1439
Street-level locationGet directions
Mailing address
16616 Millwood Way
Bakersfield, CA 93314-8221
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.