Douglas Elmo Andersen, MA
Individual provider Active NPI Audiologist · Bakersfield, CA
NPI 1215095674 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1215095674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AU 820 (CA)
- Practice address
- 2111 18TH Street
Bakersfield, CA 93301 - Phone
- (661) 324-2113
- Fax
- (661) 327-4549
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- 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 (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 820 | CA | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0008200 | Medicaid | CA |
Other providers in Bakersfield, CA
- Ashley Anchordoquy
- Elise Anchordoquy
- Philip Andberg
- Alpha Jerome Anders
- Clayton Allen Andersen
- Amber Dawn Anderson
- Amy Celeste Anderson
- Bradford A Anderson
- Carolyn Margaret Anderson
- Charles Anderson
All providers in Bakersfield, CA · Audiologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.