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KERN FACULTY MEDICAL GROUP NPI 1174546006


NPI Information

NPI: 1174546006
Provider Name: KERN FACULTY MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2201 MT VERNON AVE
STE 211
BAKERSFIELD, CA
ZIP 93306
Phone: (661) 872-7000
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KERN FACULTY MEDICAL GROUP is a family medicine in Bakersfield, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KERN FACULTY MEDICAL GROUP NPI is 1174546006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2201 MT VERNON AVE
STE 211
BAKERSFIELD, CA
ZIP 93306
Phone: (661) 872-7000
Fax: (661) 872-0499

The provider's authorized official is Jennifer Jane Abraham .
The authorized official title is President and has the following contact phone number (661) 872-7000.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 5/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RI0200XInternal MedicineInfectious DiseaseNo
4207T00000XNeurological SurgeryNo
5207W00000XOphthalmologyNo
6208000000XPediatricsNo
7208600000XSurgeryNo
82086S0122XSurgeryPlastic and Reconstructive SurgeryNo
9208800000XUrologyNo
10208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
11231H00000XAudiologistNo
12207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ91073ZMEDICARE ID-TYPE UNSPECIFIED
2CR0150OTHERCALIFORNIARAILROAD MEDICARE
3GR0058750MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.