Organization Active NPI

Bakersfield Community Hospice, Inc.

  • Community Based Hospice Care Agency
  • Bakersfield, CA
National Provider Identifier
1154682987
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BAKERSFIELD COMMUNITY HOSPICE, INC.
Practice address
1801 Oak St Ste 125
Bakersfield, CA 93301-3007
Phone
(661) 327-9800
Fax
(661) 327-9810
NPI assigned
Jun 7, 2012
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
David Dermenjian
Title
Ceo/President
Phone
(661) 327-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1801 Oak St Ste 125
Bakersfield, CA 93301-3007

Mailing address

1801 Oak St Ste 125
Bakersfield, CA 93301-3007
Phone (661) 327-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120713000201 CA Part A Provider - Hospice 4183889330 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154682987. Details of each certification follow.

Hospice certification: CCN 551744

Legal name
BAKERSFIELD COMMUNITY HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 23, 2013
Last certification
Oct 25, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 19, 2012 in CA
Enrollment address
1811 Oak St
Ste 125
Bakersfield, CA 93301-3063

Care Compare: Hospice

Medicare Care Compare
Listed as
Bakersfield Community Hospice, IncCCN 551744 · All quality measures
Ownership
For-Profit
Certified
Aug 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2045755Bakersfield Community Hospice Inc1811 Oak St, Ste 160, Bakersfield, CA 93301Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory

Locations

1801 Oak St
Ste 125
Bakersfield, CA 93301
Phone (661) 327-9800

1811 Oak St
Ste 125
Bakersfield, CA 93301
Phone (661) 327-9800

1811 Oak St
Ste 160
Bakersfield, CA 93301
Phone (661) 327-9800

3400 Calloway Dr
Ste 100
Bakersfield, CA 93312
Phone (651) 497-7999

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Edward Gilli Individual Contracted Managing EmployeeMD; Mar 1, 2024
Kristine Black Individual W-2 Managing EmployeeAd; Mar 1, 2024
Kim Van de Venter Individual W-2 Managing EmployeeDPCS Mar 1, 2024 50%
David Dermenjian Individual 5% Or Greater Direct Ownership Interest May 30, 2012 100%
Corporate OfficerCeo May 30, 2012 50%
Corporate Director May 30, 2012 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1154682987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OAK ST STE 125",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013007",
            "telephone_number": "661-327-9800",
            "fax_number": "661-327-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OAK ST STE 125",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013007",
            "telephone_number": "661-327-9800",
            "fax_number": "661-327-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD COMMUNITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DERMENJIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "661-327-9800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.