NPIMap

Organization Active NPI

Kern County Neurological Medical Group, Inc

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1306824420
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KERN COUNTY NEUROLOGICAL MEDICAL GROUP, INC
Practice address
2701 F Street
Bakersfield, CA 93301-1817
Phone
(661) 322-3008
Fax
(661) 322-5507
NPI assigned
Jan 9, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Jian Cheng Lin, MDNPI 1982683959
Title
President
Phone
(661) 322-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

2701 F Street
Bakersfield, CA 93301-1817

Mailing address

2701 F Street
Bakersfield, CA 93301-1817
Phone (661) 322-3008

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ82875ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000779 CA Part B Supplier - Clinic/Group Practice 3274599576 Receives reassigned benefits from 9 practitioners
Practice locations: Bakersfield, CA; City of Industry, CA

National Provider Directory

National Provider Directory
Tax ID family
Kern County Neuro Med Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1711 28th St
Ste A
Bakersfield, CA 93301
Phone (661) 322-0010

1711 28th St
Ste B
Bakersfield, CA 93301
Phone (661) 322-3008

20211 W Valley Blvd
#932
Tehachapi, CA 93561
Phone (661) 322-3008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1306824420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 F STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011817",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 F STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011817",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN COUNTY NEUROLOGICAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-12-20",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JIAN",
        "authorized_official_middle_name": "CHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-322-3008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82875Z",
            "state": "CA"
        }
    ],
    "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 Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.