Kern Faculty Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KERN FACULTY MEDICAL GROUP

Practice address

2201 Mt Vernon Ave
Ste 211
Bakersfield, CA 93306

Phone

(661) 872-7000

Fax

(661) 872-0499

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Jane Abraham, MDNPI 1285650259

Title

President

Phone

(661) 872-7000

Specialties & licenses 12

Addresses

Other identifiers 2

Locations

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Jane Abraham, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1285650259

  Internal Medicine

  NPD (past) Authorized official
• Alaleh Bazmi, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1417981267

  Internal Medicine

  NPD (past)
• Richard Frederick Busch, MD

  • Otolaryngology Physician
  • Bakersfield, CA
  • NPI 1245265560
  NPD (past)
• Tha Cha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fresno, CA
  • NPI 1073547824

  Internal Medicine

  NPD (past)
• Siu-Keung Chung, M.D.

  • Surgery Physician
  • Fontana, CA
  • NPI 1295797751

  Surgery

  NPD (past)
• Victor George Ettinger, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bakersfield, CA
  • NPI 1891729653
  NPD (past)
• Cary Hatton Freeman, MD

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1265467583

  Ophthalmology

  NPD (past)
• Mansukh Ranchhodbhai Ghadiya, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1972537736

  Family Medicine

  NPD (past)
• Arash Heidari, M.D

  • Infectious Disease Physician
  • Bakersfield, CA
  • NPI 1952407983

  Internal Medicine

  NPD (past)
• Ryan Kent Hudson, D.O.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1669555447

  Family Medicine

  NPD (past)
• Royce Harwood Johnson, MD

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1336174655

  Internal Medicine

  NPD (past)
• Nurun Nahar Khandaker, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1578597332

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1174546006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60159",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93386",
            "telephone_number": "661-872-7000",
            "fax_number": "661-872-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MT VERNON AVE",
            "address_2": "STE 211",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-872-7000",
            "fax_number": "661-872-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN FACULTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-872-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CR0150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kern County Transit Tech LLC
• Kern Critical Care Specialists, Inc
• Kern Dental Management, Inc.
• Kern Dermatology Medical Group Inc
• Kern Emergency Physicians
• Kern Faculty Psychiatry Associcates, Inc
• Kern Faculty Surgical Group
• Kern Gastroenterology Medical Group
• Kern Health Systems
• Kern Home Health Resources

• All providers in Bakersfield, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.