Active NPI
Douglas Elmo Andersen, MA
- Audiologist
- Bakersfield, CA
National Provider Identifier
1215095674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 820
- Practice address
- 2111 18TH Street
Bakersfield, CA 93301 - Phone
- (661) 324-2113
- Fax
- (661) 327-4549
- NPI assigned
- Dec 5, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 820 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HA1944 | CA |
Addresses
Primary practice location
2111 18TH Street
Bakersfield, CA 93301
Mailing address
2111 18TH Street
Bakersfield, CA 93301
Phone (661) 324-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 820 | CA | MD | Audiologist |
| 820 | CA | MD | Speech-Language Assistant |
| HA1944 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1215095674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 18TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-324-2113",
"fax_number": "661-327-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 18TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-324-2113",
"fax_number": "661-327-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "DOUGLAS",
"middle_name": "ELMO",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 820",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA1944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 11, 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.