NPIMap

Organization Active NPI

Kern County Hospital Authority

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
National Provider Identifier
1184420630
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KERN COUNTY HOSPITAL AUTHORITY
Practice address
9330 Stockdale Hwy Ste 500
Bakersfield, CA 93311-3616
Phone
(661) 664-2200
NPI assigned
Feb 24, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Renee Villanueva
Title
Chief Ambulatory Officer
Phone
(661) 326-2682

National Provider Directory

National Provider Directory
Tax ID family
Kern County Hosp Authority20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

3340 Peachtree Rd NE
Ste 850
Atlanta, GA 30326

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

9330 Stockdale Hwy Ste 500
Bakersfield, CA 93311-3616

Mailing address

1700 Mount Vernon Ave RM 1241
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Other names 1

NPPES NPI Registry
  • Kern Medical Outpatient Health Other name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRR Other

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2025.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1184420630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE RM 1241",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STOCKDALE HWY STE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113616",
            "telephone_number": "661-664-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF AMBULATORY OFFICER",
        "authorized_official_telephone_number": "661-326-2682"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRR",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.17.9.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3340 Peachtree Rd NE Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kern Medical Outpatient Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 24, 2025; 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.