Organization Active NPI

Dignity Health Medical Foundation

Doing business as Dignity Health Medical Group - Bakersfield, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1083971881
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Doing business as
Dignity Health Medical Group - Bakersfield, a service of Dignity Healt
Practice address
3838 San Dimas St
BLDG. a #200
Bakersfield, CA 93301-2284
Phone
(661) 654-0200
Fax
(661) 654-2855
NPI assigned
Apr 18, 2012
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Theresa M Hylen
Title
Chief Financial Officer
Phone
(916) 851-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3838 San Dimas St
BLDG. a #200
Bakersfield, CA 93301-2284

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other names 1

  • Dignity Health Medical Group - Bakersfield, a service of Dignity Healt Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000709 CA Part B Supplier - Clinic/Group Practice 7810800661 Receives reassigned benefits from 1,333 practitioners
This NPI is an additional NPI on the enrollment

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
05D0946918Dignity Health Medical Foundation3838 San Dimas, B-201, Bakersfield, CA 93301Certificate of waiverJun 3, 2028
05D0947605Dignity Health Medical Foundation3838 San Dimas St Ste A200, Bakersfield, CA 93301Provider-performed microscopyNov 27, 2026
05D2019814Dignity Health Medical Foundation3838 San Dimas St Ste a-100, Bakersfield, CA 93301Provider-performed microscopyAug 7, 2027

National Provider Directory

National Provider Directory
Part of
Woodland Clinic Med GRP

Locations

9500 Stockdale Hwy
Ste 103
Bakersfield, CA 93311
Phone (661) 324-6593

707 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 822-2530

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1083971881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "BLDG. A #200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-654-0200",
            "fax_number": "661-654-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HYLEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-851-2559"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Medical Group - Bakersfield, a service of Dignity Healt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dignity Health Medical Group - Bakersfield, a service of Dignity Healt",
            "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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.