Organization Active NPI

Dr KDD Enterprises Inc.

  • Primary Care Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1013553122
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DR KDD ENTERPRISES INC.
Practice address
1700 A St
Bakersfield, CA 93301-3545
Phone
(661) 327-3271
NPI assigned
Nov 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Priscilla Hernandez
Title
Consultant
Phone
(661) 972-8323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1700 A St
Bakersfield, CA 93301-3545

Mailing address

PO Box 20459
Bakersfield, CA 93390-0459
Phone (661) 327-3271

Other names 1

  • The Children's Clinic of Bakersfield Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://prognocis.com/

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2250209The Children'S Clinic of Bakersfield1700 A Streeet, Bakersfield, CA 93301Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574553600000",
    "number": "1013553122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20459",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900459",
            "telephone_number": "661-327-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 A ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013545",
            "telephone_number": "661-327-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KDD ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "661-972-8323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://prognocis.com/",
            "affiliation": "N",
            "address_1": "1700 A St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Children's Clinic of Bakersfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.