Individual provider Active NPI

Jesse Zachariah Godfrey, DO

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1083363485
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21996 Issued in CA
Practice address
6077 Coffee Rd Ste 4
Bakersfield, CA 93308-9417
Phone
(831) 219-8453
NPI assigned
Mar 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21996 CA Primary

Addresses

Primary practice location

6077 Coffee Rd Ste 4
Bakersfield, CA 93308-9417

Mailing address

6077 Coffee Rd Ste 4
Bakersfield, CA 93308-9417
Phone (831) 219-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004799 CA Practitioner - Psychiatry 7618470279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1000
Bakersfield, CA 93302

PO Box
Suite 1000
Bakersfield, CA 93302-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
21996CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
County of Kern Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Golden Coast Psychiatry and Wellness Psychiatry Current Accepting new patients

Locations

6077 Coffee Rd
Ste 4
Bakersfield, CA 93308
Phone (661) 326-6616

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1083363485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 COFFEE RD STE 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089417",
            "telephone_number": "831-219-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6077 COFFEE RD STE 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089417",
            "telephone_number": "831-219-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "JESSE",
        "middle_name": "ZACHARIAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.