Active NPI
Bakersfield Community Hospice, Inc.
- Community Based Hospice Care Agency
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Aug 23, 2013
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 05D2045755 | Bakersfield Community Hospice Inc | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| William Edward Gilli | Contracted Managing Employee | Mar 1, 2024 | |
| Kristine Black | W-2 Managing Employee | Mar 1, 2024 | |
| Kim Van de Venter | W-2 Managing Employee | Mar 1, 2024 | 50% |
| David Dermenjian | 5% Or Greater Direct Ownership Interest | May 30, 2012 | 100% |
| Corporate Officer | 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.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1447257100
Contracted Managing Employee
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.
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1710425392
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
- Bakersfield Care Pharmacy, Inc (Bakersfield Pharmacy)
- Bakersfield Center for Women's Health
- Bakersfield City School District
- Bakersfield Commons Surgical Center, LLC
- Bakersfield Community Health Center, Inc.
- Bakersfield Community Physical Therapy
- Bakersfield Dermatology and Skin Cancer PC
- Bakersfield Dialysis Center Med GRP
- Bakersfield Digital Dental Corporation
- Bakersfield Drug Company Inc. (Rufener's Alta Vista Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.