Joean Cisco

Physician • Bakersfield, CA

Deactivated NPI 1326400607 Deactivated in NPPES Female Practitioner

Practice location in NPPES

9400 Lake Victoria Dr
Bakersfield, CA 933126234

Phone: 6613041030

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 18, 2018; the reason is not published. The records below are historical. They do not show whether Joean Cisco currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 24, 2016

NPI Deactivation Date June 18, 2018

NPI Active Period 2016 – 2018

Practice Location & Contact Primary Location

Practice Address

9400 Lake Victoria Dr

Bakersfield, CA 933126234

Telephone 6613041030

Before You Book

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Bakersfield and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

License # reported to NPPES CA 157202414

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated June 18, 2018

NPPES lists this NPI as deactivated as of June 18, 2018; the reason is not published.

✅

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 24, 2016

Registered at 9400 LAKE VICTORIA DR, BAKERSFIELD, CA 933126234 (Tel: 6613041030)

📍

Business Mailing Address (Initial Record) March 24, 2016

Registered at 9400 LAKE VICTORIA DR, BAKERSFIELD, CA 933126234 (Tel: 6613041030)

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Provider Name / Credentials (Initial Record) March 24, 2016

Recorded as JOEAN CISCO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Assisted Living Facility (license number reported to NPPES: CA 157202414)

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Initial NPI Registration & Enumeration March 24, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326400607

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 24, 2016

Last Update: March 24, 2016

Deactivation Date: June 18, 2018

Update or Correct Profile

Mailing Address

9400 Lake Victoria Dr

Bakersfield, CA 933126234

Phone: 6613041030

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.