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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH MEDICAL FOUNDATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0946918 | Dignity Health Medical Foundation | Certificate of waiver | Jun 3, 2028 |
| 05D0947605 | Dignity Health Medical Foundation | Provider-performed microscopy | Nov 27, 2026 |
| 05D2019814 | Dignity Health Medical Foundation | Provider-performed microscopy | Aug 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.
-
- Hospitalist Physician
- Northridge, CA
- NPI 1093163222
-
- Obstetrics & Gynecology Physician
- Bakersfield, CA
- NPI 1285678326
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bakersfield, CA
- NPI 1376049767
-
- Surgery Physician
- Bakersfield, CA
- NPI 1700381647
-
- Gerontology Nurse Practitioner
- Palo Alto, CA
- NPI 1477126365
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1194865535
-
- Physician Assistant
- Tehachapi, CA
- NPI 1255790366
-
- Medical Physician Assistant
- Bakersfield, CA
- NPI 1194747808
-
- Cardiovascular Disease Physician
- Bakersfield, CA
- NPI 1548566284
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1255400313
-
- Surgery Physician
- Bakersfield, CA
- NPI 1043715733
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1558603290
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
- Byron Diggs Jr., ASW
- Dignity Health (Mercy Hospital)
- Dignity Health (Mercy Memorial Home Health)
- Dignity Health (Mercy Hospice)
- Dignity Health Management Services Organization LLC
- Dignity Health Provider Resources
- Selena Dilano
- Amanda Dillard
- Rhonda Palmer Dillingham, MFT
- Donald Andson Dillworth, DDS
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.